陈灏珠--心电图临床应用回顾与展望-05—培训课件.pptVIP

* * * Ventricular tachycardia A wide QRS tachycardia is VT until proven otherwise (1). Features suggesting VT include:- evidence of AV dissociation independent P waves (shown by arrows here) capture or fusion beats beat to beat variability of the QRS morphology very wide complexes ( 140 ms) the same morphology in tachycardia as in ventricular ectopics history of ischaemic heart disease absence of any rS, RS or Rs complexes in the chest leads (2) concordance (chest leads all positive or negative) * * * * short PR interval, less than 3 small squares (120 ms) slurred upstroke to the QR