Abstract：Fascicular escape rhythm is a rare passive arrhythmia caused by abnormally originated cardiac stimuli. It is regarded as a kind of heart selfprotection rhythm, and is also a special manifestation of dual rhythm. The formation of fascicular escape rhythm requires corresponding conditions. According to the different origins of cardiac stimuli at the attack, fascicular escape rhythm can be divided into 3 types, and thereby shows different electrocardiographic morphology changes. The differential diagnosis of fascicular escape rhythm is very important, since the result lead to different treatments and prognoses of patients subsequently. By several typical cases, this paper illustrates in detail the electrocardiogram manifestations and differential diagnosis highlights of different fascicular escape rhythms.
[1] 朱力华,王开迎,龚仁泰.心电图题解[M]. 2版.合肥：安徽科学技术出版社, 1994：145.[2] 吴晔良,龚仁泰.临床心电图鉴别诊断[M].南京：江苏科学技术出版社, 1999：372.[3] James T J.心脏传导系统[J].王宝美,整理.国外医学·心血管疾病分册, 1979, 29：529.[4] Sherf L, James TN. The mechanism of aberration in late atrioventricular junctional beats[J]. Am J Cardiol, 1972, 29(4)：529-539.[5] 朱娅,刘登生,龚仁泰.分支性逸搏心律的心电图分析[J].江苏实用心电学杂志, 2001, 10(5)：356-357.[6] 吕香兰.分支性并行心律分析（附3例报告）[J].江苏实用心电学杂志, 2001, 10(4)：294-295.
2015, Vol. 24 
