[1]刘东庭.心电散点图鉴别诊断房颤伴宽QRS波心动过速的临床应用价值[J].医学信息,2022,35(11):157-160.[doi:10.3969/j.issn.1006-1959.2022.11.042]
　LIU Dong-ting.Clinical Value of ECG Scatter Plot in Differential Diagnosis of Atrial Fibrillation with Wide QRS Tachycardia[J].Medical Information,2022,35(11):157-160.[doi:10.3969/j.issn.1006-1959.2022.11.042]
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心电散点图鉴别诊断房颤伴宽QRS波心动过速的临床应用价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年11期
页码:
157-160
栏目:
诊疗技术
出版日期:
2022-06-01

文章信息/Info

Title:
Clinical Value of ECG Scatter Plot in Differential Diagnosis of Atrial Fibrillation with Wide QRS Tachycardia
文章编号:
1006-1959（2022）11-0157-04
作者:
刘东庭
（首都医科大学延庆教学医院/北京市延庆区医院/北京大学第三医院延庆医院心血管内科，北京 102100）
Author(s):
LIU Dong-ting
(Department of Cardiovascular Medicine,Yanqing Teaching Hospital of Capital Medical University/Beijing Yanqing District Hospital/Peking University Third Hospital Yanqing District Hospital,Beijing 102100,China)
关键词:
心电散点图; 鉴别诊断; 房颤; 宽QRS波心动过速
Keywords:
Scatter plot; Differential diagnosis; Atrial fibrillation; Wide QRS tachycardia
分类号:
R541.75
DOI:
10.3969/j.issn.1006-1959.2022.11.042
文献标志码:
A
摘要:
目的 观察心电散点图鉴别诊断房颤伴宽QRS波心动过速的临床应用价值。方法 选取2021年1月-2022年1月在我院诊治的73例房颤伴宽QRS波心动过速患者为研究对象，采用单象限心电散点图分析鉴别房颤伴宽QRS波心动过速，观察房颤伴宽 QRS 波心动过速分布情况、心电散点图不同心律失常B线斜率。结果 73例房颤伴宽QRS波患者中，持续性心房颤动占24.66%，房颤伴室早室速占20.55%，房颤伴差传占30.14%，房颤伴束支传导阻滞占9.59%，房颤伴心室起搏占15.07%；房颤伴室早室速及房颤伴心室起搏B线斜率与持续性房颤、房颤伴差传、房颤伴束支传导阻滞比较，差异有统计学意义（P＜0.05）；房颤伴室早室速与房颤伴心室起搏两组B线斜率比较，差异有统计学意义（P＜0.05）；但持续性房颤、房颤伴差传、房颤伴束支传导阻滞之间B线斜率比较，差异无统计学意义（P＞0.05）。结论 心电散点图鉴别诊断房颤伴宽QRS波心动过速具有重要的临床应用价值，可准确的进行鉴别诊断，可为临床治疗提供一定的参考依据。
Abstract:
Objective To observe the clinical value of ECG scatter plot in differential diagnosis of atrial fibrillation with wide QRS tachycardia.Methods A total of 73 patients with atrial fibrillation complicated with wide QRS tachycardia treated in our hospital from January 2021 to January 2022 were selected as the research objects. Single quadrant ECG scatter plot was used to analyze and identify atrial fibrillation complicated with wide QRS tachycardia. The distribution of atrial fibrillation complicated with wide QRS tachycardia and the slope of B line of different arrhythmia in ECG scatter plot were observed.Results Among 73 patients with atrial fibrillation and wide QRS wave, persistent atrial fibrillation accounted for 24.66%, atrial fibrillation with premature ventricular tachycardia accounted for 20.55%, atrial fibrillation with poor transmission accounted for 30.14%, atrial fibrillation with bundle branch block accounted for 9.59%, atrial fibrillation with ventricular pacing accounted for 15.07%. There were significant differences in B-line slope between atrial fibrillation with premature ventricular tachycardia, atrial fibrillation with ventricular pacing and persistent atrial fibrillation, atrial fibrillation with differential transmission, atrial fibrillation with bundle branch block (P<0.05); there was statistically significant difference in the slope of B-line slope between atrial fibrillation with ventricular premature ventricular tachycardia and atrial fibrillation with ventricular pacing (P<0.05); however, there was no significant difference in B-line slope among persistent atrial fibrillation, atrial fibrillation with differential transmission and atrial fibrillation with bundle branch block (P>0.05).Conclusion ECG scatter plot in the differential diagnosis of atrial fibrillation with wide QRS tachycardia has important clinical application value, which can accurately identify the diagnosis and provide certain reference for clinical treatment.

参考文献/References:

房颤伴室内差异性传导鉴别诊断中的作用[J].实用心电学杂志,2019,28(5):337-339.[2]吴月娥,马兰,陈欣然.室性并行心律在Lorenz散点图中的非典型表现[J].安徽医学,2017,38(9):1180-1183.[3]林晓明,杨希立,赖玉琼,等.Lorenz散点图对心律失常诊断和心率变异性分析的价值[J].广东医学,2019,40(11):1598-1603.[4]武求花,龚春,武洪林.运用心电散点图及逆向技术对房性期前收缩未下传的临床分析及鉴别诊断[J].中国全科医学,2019,22(36):4515-4519.[5]朱丹琼.研究室性并行心律的心电散点图特征[J].心电图杂志,2020,9(3):44-45.[6]胡蔓莉,刘桢.动态心电图Lorenz散点图与慢性心衰患者预后的相关性分析[J].广西医科大学学报,2019,36(9):1442-1445.[7]曾欢,李颖,吕建琼,等.心电散点图对心律失常快速诊断的价值分析[J].医学理论与实践,2020,33(10):1672-1674.[8]Ghaleb S,Thiagarajan RR,Cooper DS,et al.Outcomes of pediatric patients treated with extracorporeal membrane oxygenation for intractable supraventricular arrhythmias[J].Pediatr Crit Care Med,2020,21(8):e547-e556.[9]Dandamudi G,Vijayaraman P.How to perform permanent His bundle pacing in routine clinical practice[J].Heart Rhythm,2016,13(6):1362-1366.[10]MILLER MKD JM.Cardiac Electrophysiology:from cell to bedsides[M].7th ed.philadelphia:Elsevier,2018:567-573.[11]陈琛.动态心电图中散点图诊断室上性心律失常的效果研究[J].心电图杂志（电子版）,2017,6(2):138-139.[12]景永明.联合运用3种心电散点图快速解析特殊复杂心律失常[J].实用心电学杂志,2020,29(4):247-252.[13]黄瀚泓,许祥林.室性心动过速积分与宽QRS心动过速鉴别诊断[J].临床心血管病杂志,2018,34(8):823-826.[14]刘孟春,陈秀英,何慧,等.动态心电图中散点图诊断室上性心律失常的应用价值[J].四川医学,2017,38(10):1192-1194.[15]Waligóra M,Tyrka A,Miszalski-Jamka T,et al.Right atrium enlargement predicts clinically significant supraventricular arrhythmia in patients with pulmonary arterial hypertension[J].Heart Lung,2018,47(3):237-242.[16]景永明,章富君,李世锋,等.频发室性早搏伴反复搏动的心电散点图特征及形成原理分析[J].中国心脏起搏与心电生理杂志,2019,33(1):77-80.[17]向晋涛.心电散点图的临床应用[J].中国心脏起搏与心电生理杂志,2019,33(3):197-201.[18]何正飞,何叶军,何方田.宽QRS波群心动过速诊断为室性心动过速快速简易六步法的临床应用[J].心电与循环,2015,34(6):450-453.[19]张瑞,王继斌.基于灰度信息度量的阵发性房颤自动检测方法[J].西安交通大学学报,2018,52(5):157-161.[20]张绪平.心电散点图鉴别诊断房颤伴宽QRS波心动过速的临床应用价值[J].黑龙江中医药,2020,49(2):9-10.

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更新日期/Last Update: 1900-01-01