乳头肌和希浦氏起源室性心理失常的特点和诊断__2012杭州.pptVIP

1、乳头肌室速相对普通室速，可能需要传导时间长，从乳头肌到心肌的时间，故QRS波相对较长。 2、另外也正因此QRS波心室除极中电位复杂，多伴有切迹。特征性即QRS波多伴有切迹。 3、最后QRS波形易改变，是乳头肌的出口宽，易发生变化。 The 12-lead electrocardiogram recordings of PAP and non-PAP arrhythmias that were targeted were compared using previously described criteria (5,6), including bundle branch block, axis, morphology in V1, as well as R-wave transition from V1 to V6 and notches in the precordial leads. In the presence of a predominant R-wave in V1, the precordial transition of the R- to S-wave was assessed. We compared early (V1 to V3) versus late (V4 to V6) R- to S-wave transition. Notches were de