实用心电与临床诊疗2026，Vol.35Issue(3)：488-495,8.DOI:10.13308/j.issn.2097-5716.xd20250425
左前分支型左束支阻滞的心电向量图特征(附4例分析)
Vectorcardiographic features of left anterior fascicular block-type left bundle branch block:analysis of 4 cases
摘要
Abstract
Using a stereoelectrocardiograph,electrocardiogram(ECG)and vectorcardiogram(VCG)were synchronously recorded via the Wilson and Frank dual-lead systems to timely detect and diagnose left anterior fascicular block-type left bundle branch block(LAFB-type LBBB).Cases with clinical manifestations and clearly diagnosed LAFB-type LBBB based on VCG were selected for analysis.In four cases of LAFB-type LBBB,the VCG manifestations showed features of LAFB in the frontal plane and complete LBBB in the horizontal plane.VCG was significantly superior to ECG in diagnosing LAFB-type LBBB.Regardless of the version of ECG diagnostic criteria for LAFB-type LBBB,the diagnostic reliability of ECG remains limited without the verification of VCG.Therefore,clinicians should be cautious in diagnosing LAFB-type LBBB using ECG alone.In practical work,ECG and VCG should complement each other by leveraging their respective strengths to jointly serve clinical practice.Combining the two methods can improve diagnostic accuracy.关键词
左前分支型左束支阻滞/心电向量图/心电图Key words
left anterior fascicular block-type left bundle branch block/vectorcardiogram/electrocardiogram分类
医药卫生引用本文复制引用
潘登,潘月,褚现明,赵森,潘二明..左前分支型左束支阻滞的心电向量图特征(附4例分析)[J].实用心电与临床诊疗,2026,35(3):488-495,8.基金项目
国家自然科学基金面上项目(82172574) （82172574）
河南省医学科技攻关计划项目(LHGJ20250926) （LHGJ20250926）
