西南国防医药Issue(8)：816-818,3.DOI:10.3969/j.issn.1004-0188.2014.08.002
左后分支型宽 QRS 波心动过速临床特征及药物治疗分析
Clinical characteristics of left posterior fascicular type wide QRS tachycardia and drug therapy analysis
摘要
Abstract
Objective To investigate clinical characteristics of left posterior fascicular type wide QRS complex tachycardia and the response of the patients to drug therapy. Methods The clinical data of 14 cases with left posterior fascicular type wide QRS complex tachycardia were collected and analyzed,including case history,surface ECG features,electrophysiological findings and responses to antiarrhythmic drug. Results 14 patients showed episodes of right bundle branch block QRS pattern in chest leads of ECG with axis pointing to left side or to no man′s land,out of them,13 patients were finally diagnosed to have ventricular tachycardia by electrophysiological examination or ECG and 1 case was failed in confirming to have whether ventricular or supraventricular tachycardia;verapamil therapy was performed on 12 patients and the attacks were successfully terminated. Conclusions Verapamil therapy is the first-choice for the emergent termination of left posterior fascicular type wide QRS complex tachycardia.关键词
宽QRS波/心动过速/维拉帕米/心电图Key words
wide QRS/complex/tachycardia/verapamil/ECG分类
医药卫生引用本文复制引用
戴庆,白剑,李晓宏,张必利..左后分支型宽 QRS 波心动过速临床特征及药物治疗分析[J].西南国防医药,2014,(8):816-818,3.基金项目
国家自然科学基金资助课题 （）
