实用心电学杂志2017，Vol.26Issue(3)：175-178,225,5.DOI:10.13308/j.issn.2095-9354.2017.03.005
心电散点图在窦性心律失常二联律鉴别诊断中的应用
Application of ECG scatterplot in differential diagnosis of bigeminy of sinus arrhythmia
许以德 1许智永1
作者信息
- 1. 363000福建 漳州,福建医科大学附属漳州市医院心电图室
- 折叠
摘要
Abstract
Objective To make differential diagnosis of long and short bigeminy resulted from bigeminy of sinus premature beats, 3∶2 Wenckebach sinoatrial block and"longitudinal" dissociation of sinus node function.Methods Twenty-six patients diagnosed with bigeming of sinus arrhythmias underwent 24-hour ambulatory electrocardiography examination in the department of electrocardiogram of Zhangzhou Municipal Hospital.With a combination of Lorenz scatterplot, time-RR-interval scatterplot(t-RR scatterplot) and the reversal technique, the collected clinical data were analyzed and graphs were made by computer.Results To make differential diagnosis of long and short bigeminy resulted from bigeminy of sinus premature beats, 3∶2 Wenckebach sinoatrial block and "longitudinal" dissociation of sinus node function, it is not recommended to simply rely on routine ECG.A combination of Lorenz scatterplot, t-RR scatterplot and the reversal technique helps to make accurate differential diagnosis of these three kinds of bigeminy.Conclusion It can effectively elevate the diagnostic accordance rate and reduce the rate of missed diagnosis to apply ECG scatterplot and the reversal technique in the differential diagnosis of bigeminy of sinus arrhythmia.关键词
心电图学/心电散点图/窦性早搏/文氏型窦房阻滞/窦性心律失常/二联律Key words
electrocardiography/ECG scatterplot/sinus premature beats/Wenckebach sinoatrial block/sinus arrhythmia/bigeminy分类
医药卫生引用本文复制引用
许以德,许智永..心电散点图在窦性心律失常二联律鉴别诊断中的应用[J].实用心电学杂志,2017,26(3):175-178,225,5.
