起搏器培训课件：心律失常与装置.pptVIP

* Student Notes学员注释 WPW is characterized by: 1) Short PR interval (120 ms or less) indicating that the impulse did not travel the path through the AV node 2) QRS is wide (110 ms or greater), again implying the impulse did not travel through the normal conduction system; and, 3) An obvious delta wave as a result of early conduction. A delta wave looks like a gradual onset of the QRS complex (above graphic) and the QRS is 110 msec. The PR interval is typically less than 120 msec. 预激综合症主要特征有： 1）PR间期短（120ms或更短）表明脉冲没有沿房室结下传。 2）QRS宽（110ms或更宽），再一次提示脉冲未沿正常传导途径下传；同时 3）有明显的delta波，作为早期传导的结果。Delta波看上去类似QRS波逐步起始阶段（见上图），QRS波超过110ms。PR间期通常短于120ms。 As mentioned, the most common SVT in WPW is orthodromic, which creates a narrow complex QRS Approximately 7%-10% of WPW is antidromic, which creates a wide complex QRS (exaggeration of delta wave) 正如所述，最常见的预激综合症中的室上速是前传性的，QRS波较窄 大约7%-10%的预激综合症是逆传性的，QRS波宽（Delta波放大） Instructor Notes教员注释 Auto-animated slide 自动演示幻灯 * Student Notes学员注释 This is a reentrant supraventricular rhythm whose reentry circuit is located in the region of the atrioventricular node. It is characterized by a QRS morphology that is normal for the patient. The rate of AVNRT is commonly between 150-230 bpm, and can exceed 250 bpm in teenagers. Note that on the ECG, P-waves are unseen, and are usually buried in the QRS. Approximately 60% of narrow-complex tachycardias are found to be caused by AVNRT A paroxysmal onset and termination is seen with AVNRT There is both a typical and atypical form of AVNRT Typical AVNRT is a result of a shift in conduction from the fast to the slow pathway, and is seen in 90% of the patients with AVNRT Atypical AVNRT is a result of a conduction shift from the slow to fast, or slow to the slow pathway. The atypical form is less common, occurring in 10% of the patients with AVNRT. AVNRT is not associated with underlying heart disease. It may present at any age, but usually occurs in the mid 40s. It may be more frequent in females, ma