|
Abstract Ventricular tachycardia has always been an acute arrhythmia which needs urgent treatment. However it is still difficult for clinicians to find an accurate and quick method to diagnose it by traditional 12lead electrocardiogram(ECG). According to the fact that surface ECG shows different characteristics with different origins of ventricular tachycardia, we carefully analyzed a large number of ECGs. By the classification of origins of ventricular tachycardia, we summarized a new approach,figure method, which was quick, convenient and accurate in diagnosing the disease. In order to testify the diagnostic accuracy of this new method, we collected 280 12lead surface ECGs when ventricular tachycardia attacked and these ECGs were belonging to patients who had been specifically diagnosed with the disease by electrophysiologic examinations from January 2011 to December 2013 in our hospital. Figure method was utilized in the analysis of those ECGs, among which 177 ones coincided with diagnostic conditions of the new method, with a coincidence rate of 63.21%. This paper manifests the convenience, rapidity and high efficiency of figure method and it is also easy to be mastered by cardiologist and noncardiovascular clinicians. The new method fits well for clinical requirements.
|
|
|
|
|
[1] Marill KA, Wolfram S, Desouza IS, et al.Adenosine for widecomplex tachycardia: efficacy and safety[J]. Crit Care Med, 2009, 37(9):2512-2518.[2] 陈新. 黄宛临床心电图学[M]. 6版. 北京:人民卫生出版社, 2009:341-345.[3] Darbar D, Olgin JE, Miller JM, et al. Localization of the origin of arrhythmias for ablation: from Electrocardiography to advanced endocardial mapping systems[J]. J Cardiovasc Electrophysiol, 2001, 12(11):1309-1325.[4] Ba¨nsch D, Oyang F, Antz M, et al. Successful catheter ablation of electrical storm after myocardial infarction[J]. Circulation, 2003, 108(24):3011-3016.[5] Yamada T, McElderry HT, Doppalapudi H, et al. Idiopathic ventricular arrhythmias originating from the aortic root prevalence, electrocardiographic and electrophysiologic characteristics, and results of radiofrequency catheter ablation[J]. J Am Coll Cardiol, 2008, 52(2):139-147.[6] Haqqani HM, Morton JB, Kalman JM. Using the 12lead ECG to localize the origin of atrial and ventricular tachycardias: part 2—ventricular tachycardia[J]. J Cardiovasc Electrophysiol, 2009, 20(7):825-832.[7] 仇宝华, 张红雨, 曹艳君. 特发性室性心动过速的起源部位及心电图特征[J]. 医学综述, 2012, 18(16):2601-2604.[8] 刁青, 杨延宗, 林治湖. 室性心动过速激动起源的体表心电图定位[J]. 国外医学·心血管疾病分册, 2000, 27(1):21-25. |
[1] |
Sun-Yuan-Jun, XIAO Xian-Jie, YU Xiao-Hong, ZHANG Duo-Duo, WANG Zhong-Zhen, ZHANG Rong-Feng, LI Guo-Cao, DONG Ying-Xue, YIN Xiao-Meng, GAO Lian-Jun, YANG Yan-Zong, XIA Yun-Long. Electrocardiographic characteristics of idiopathic outflow tract ventricular premature with monomorphic tachycardia[J]. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2019, 28(5): 329-332. |
|
|
|