急诊科心律失常伴宽qrs复合体和复极异常：噩梦般的心电图

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of electrocardiology Pub Date : 2025-02-14 DOI:10.1016/j.jelectrocard.2025.153896

Antonino Micari M.D, Giulia Cavolina M.D, Pasquale Crea M.D. Ph.D

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引用次数: 0

摘要

我们报告一名49岁妇女在急诊科记录的心电图结果，显示宽qrs，不规则节律。心电图显示右侧心前导联终末波宽，ST段抬高凸，并伴有右轴偏移。虽然最初的表现可能看起来很复杂，但必须考虑几种诊断可能性，因为每种可能性都可能建议对该临床病例进行不同的处理。

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Irregular rhythm with wide-QRS complexes and repolarization abnormalities in the emergency department: A nightmare ECG

We present the ECG findings of a 49-year-old woman recorded in the emergency department, which reveal a wide-QRS, irregular rhythm. The ECG shows a broad terminal wave in the right precordial leads, along with a convex ST segment elevation, and is associated with a right axis deviation. While the initial presentation may appear complex, several diagnostic possibilities must be considered, as each could suggest a distinct management for this clinical case.

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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.