中国实用内科杂志

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急性心脏事件体表心电图预警

赵敏1黄生耀2黄建群3   

  1. 作者单位:1.中国医科大学附属盛京医院急诊科,沈阳 110004;2.沈阳市急救中心,沈阳 110006;3.中国医科大学附属第一医院,沈阳 110001
  • 出版日期:2014-11-01 发布日期:2014-11-06
  • 作者简介:赵敏,主任医师、教授、博士生导师。中国医科大学附属盛京医院急诊科主任,辽宁省中毒诊治中心主任。兼任中国医师协会急诊医师分会副会长,中华医学会急诊医学分会委员,中国毒理协会中毒与救治分会常务委员。《中国实用内科杂志》《中国医科大学学报》编委。《中华急诊医学杂志》通讯编委。

Electrocardiogram warning of acute cardiac event

ZHAO Min**,HUANG Sheng-yaoHUANG Jian-qun.   

  1. *Department of Emergency Medicine,the Affiliated Shengjing Hospital of China Medical University,Shenyang 110004,China
  • Online:2014-11-01 Published:2014-11-06

摘要:

心脏性猝死(SCD)严重威胁人类的健康,体表心电图的某些改变可对SCD危险因素进行分层和预测。这些改变包括室性早搏、室性心动过速、心室颤动或心室扑动、电风暴(ES)、极速心房颤动(AF)、病态窦房结综合征(SSS)、急性ST段偏移、急性缺血性J波、ST-T动态演变、坏死性Q波突然消退、特征性T波、恶性早期复极综合征及Brugada波。Epsilon波提示致心律失常性右心室发育不良。窄而深的Q波警示年轻人肥厚型梗阻性心肌病。

关键词: 心脏性猝死, 体表心电图

Abstract:

Abstract:Sudden cardiac death (SCD) is a serious threat to human health.Some changes of electrocardiogram (ECG) were risk factors on stratified and prediction of SCD.These changes include ventricular premature beat,ventricular tachycardia,ventricular fibrillation/ventricular flutter,electrical storm (ES),rapid atrial fibrillation,sick sinus syndrome,acute ST segment deviation,acute ischemic J wave,ST-T dynamic evolution,sudden disappearance of necrotic Q wave,the characteristic T wave,malignant early repolarization syndrome,and Brugada wave.Epsilon waves suggest arrhythmogenic right ventricular dysplasia.Narrowing and Deepening of Q wave warns young people of obstructive hypertrophic cardiomyopathy.

Key words: sudden cardiac death, electrocardiogram

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