这是前隔附属通路吗？

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of electrocardiology Pub Date : 2024-07-01 DOI:10.1016/j.jelectrocard.2024.06.043

Bin Zhu , Lijun Zeng , Qin Wang , Xiaobo Pu

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引用次数: 0

摘要

患者窦性心律时的心电图显示预激 QRS 模式，V1 导联为 rS 模式，V2 导联为过渡模式，下导联为阳性。根据逐步算法，确定了附件通路（AP）的位置在前室壁区。然而，V2 导联的心前区过渡显示了中隔或后隔 AP。这种不匹配提示存在多个 AP，电生理研究确定了 5 个 AP。该病例强调了详细分析心电图以实现充分消融的重要性。

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Is this an anteroseptal accessory pathway?

The ECG of a patient during sinus rhythm shows preexcited QRS pattern, with rS pattern in lead V1, transition in lead V2, and positive inferior leads. Following the stepwise algorithms, the location of accessory pathway (AP) was identified at anteroseptal region. However, the precordial transition in lead V2 indicates mid-septal or posteroseptal AP. The mismatch suggested multiple APs and 5 APs were identified by electrophysiologic study. This case highlights the importance of detailed analysis of ECG in order to achieve adequate ablation.

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来源期刊

Journal of electrocardiology 医学-心血管系统

CiteScore

2.70

自引率

7.70%

发文量

152

审稿时长

38 days

期刊介绍： The Journal of Electrocardiology is devoted exclusively to clinical and experimental studies of the electrical activities of the heart. It seeks to contribute significantly to the accuracy of diagnosis and prognosis and the effective treatment, prevention, or delay of heart disease. Editorial contents include electrocardiography, vectorcardiography, arrhythmias, membrane action potential, cardiac pacing, monitoring defibrillation, instrumentation, drug effects, and computer applications.