摘要
本文回顾分析已成功进行射频消蚀、定位诊断明确的６１例间隔旁路患者的体表心电图。各部位旁路心电图特点：（１）Ｖ１导联呈ｒＳ型或δ波为负向为右侧旁路，否则为左侧旁路；（２）右侧间隔旁路的特点：Ｖ１导联δ负向或Ｖ１呈ｒＳ型且ｒ＜４０ｍｓ，Ｖ２Ｒ／Ｓ≥１，敏感性９６％，特异性９８％）；（３）右前间隔Σδ≥＋２，右中间隔－１≤Σδ＜＋２，右后间隔Σδ＜－１；（４）左后间隔旁路：Ｖ１呈“Ｍ”型右束支阻滞图形或ＲＳ型且Ｒ／Ｓ型＝１，Ⅱ导联δ波为负向（敏感性９０％，特异性９９％）。总之，根据体表心电图Ｖ１、Ｖ２、Ⅱ、Ⅲ。
The12-leadelectrocardiogramsof61patientswithoneanterogradelyconductingsep-talaccessorypathywaywereanalyzedretrospectivelytoinvestigatethecharateristicsoftheelectro-cardiographicfindingsinrightandleftseptalAPlocation.Locationofaccessorypathywaywascon-firmedbyradiofrequencycatheterablation.IfnegativedeltawaveinleadV1orrSpatterninleadV1wasfound,itwasright-sided;otherwise,itwasleft-sided.IfnegativedeltawaveorrSpaterninV1andr<40ms,V2R/S>1wasfound,itwasrightseptalaccessarypathway(AP),otherwiseitwasrightfreewalAP(sensitivity96%,sepecificity98%).RightanteriorseptalΣδ≥+2,rightmedianseptal-1≤Σδ<+2,rightposteriorsaptalΣδ<-1.Thecharacteristicsofleftposteriorseptal“M”paternofrightbundlebranchblockinleadV1orRSpatern(R/S=1)inleadV1withnegativedeltawaveinleadⅡwasfoundin90%ofthepatientsinLPSbutonly2%ofthepatientswithleftfreewalAP(P<0.01).Thiscriteriahadasensitivityof90%andspecificityof99%tolocalizeLPS.FiveECGleads(leadV1,V2,Ⅱ,Ⅲ,aVF)areenoughforlocalizingseptalAPwithhighsensitivityandspecificity.
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
1996年第6期421-424,共4页
Chinese Journal of Cardiology
关键词
预激综合征
心电图
导管消融
诊断
pre-excitationsyndromeselectrocardiogramcatheterablation
