Abstract:Objective To explore the characteristics of electrocardiogram(ECG) in F lead in diagnosing left bundle branch block and its complications.MethodsThe ECGs in F lead were retrospectively analyzed among 76 508 cases of healthy people so as to determine the occurrence of complete left bundle branch block. ResultsLeft bundle branch block was found in 49 cases(accounting for 0.064%), among whom were 19 cases(accounting for 38.78%) with true left bundle branch block and 20 cases(accounting for 40.82%) with complications. ConclusionThe characteristic of limb leads enables ECG in F lead to diagnose left bundle branch block at an early phase.
[1] 中国心电学会,中国心律学会.心电图标准化和解析的建议与临床应用国际指南2009[M].北京:中国环境科学出版社,2009:27,70,91.[2] 陈新.黄宛临床心电图学[M].6版.北京:人民卫生出版社,2010:546.[3] 方丕华,张澍.中国心电图经典与进展[M].北京:人民军医出版社,2010:220-233.[4] Strauss DG,Selvester RH,Wagner GS.Defining left bundle branch block in the era of cardiac resynchronization therapy [J].Am J Cardiol,2011,107(6):927-934.[5] 郭飞.真性左束支阻滞[J].临床心电学杂志,2013,22(3):236.[6] 黄岚,宋凌鲲.心电图临床解读[M].北京:化学工业出版社,2009:248-260.