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碎裂QRS波群——心电图的新概念 被引量：30

QRS Complex Fragmentation——A New Definition of Electrocardiogram
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摘要 碎裂QRS是指碎裂QRS两个连续导联呈RSR’型(≥1个R’波、R波或S波存在切迹),但并无典型束支传导阻滞的心电图图形。碎裂QRS可能是一种特殊类型的心肌梗死,是心脏事件的预测因子和心肌瘢痕的标志,也是室壁瘤的标志。 QRS complex fragmentation （fQRS）, is defined as changes in QRS morphology （ 〈 120 ms） with different RSR＇patterns, 〉 1 R ＇wave, notched R wave, or notched S wave, which do not related to right bundle branch block. Prognostic significance of QRS predicts the risk of recurrent cardiac events in patients with myocardial infarction, and diagnostic value as a sign of myocardial infarction scaring. It is also a sign of left ventricular aneurysm.
作者 张灏 陈日新
机构地区 甘肃省第二人民医院心内科 东南大学中大医院心内科
出处 《心血管病学进展》 CAS 2009年第3期422-424,共3页 Advances in Cardiovascular Diseases
关键词 QRS波群 心肌梗死 心脏事件 心肌瘢痕 室壁瘤 QRS complex myocardial scar myocardial infarction cardiac events left ventricular aneurysm
分类号 R540.4 [医药卫生—心血管疾病]
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参考文献18

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二级参考文献1

共引文献5

同被引文献218

  • 1马婧,范咏梅,肖春霞.碎裂QRS波在心肌梗死中的研究[J].江苏实用心电学杂志,2013,22(6):888-892. 被引量：13
  • 2向丽云.1例急性心肌梗死并发严重电风暴的急救与护理[J].当代护士（下旬刊）,2010,17(3):137-138. 被引量：4
  • 3杨震坤,关敬树,沈卫峰,张建盛,张瑞岩,张宪,郑爱芳.高度房室传导阻滞在急性下壁心肌梗死预后中的意义[J].疑难病杂志,2006,5(1):6-8. 被引量：4
  • 4刘善宽,陈君柱.急性前壁心肌梗死支架植入后早期ST-T改变的临床意义[J].心电学杂志,2007,26(2):73-75. 被引量：1
  • 5Varriale P,Chryssos BE.The RSR' complex not related to right bundle branch block:diagnostic value as a sign of myocardial infaarction scar[J].Am Heart J,1992,123(2):369-376.
  • 6Das MK,Khan B,Jacob S,et al.Significance of a fragmented QRS comp lex versus a Q wave in patients with coronary artery disease[J].Circulation,2006,113 (21):2495-2501.
  • 7Das MK,EL Masry H.Fragmented QRS and other depolarization abnormalities as a predictor of mortality and sudden cardiac deadh[J].Curr Opin Cardiol,2010,25(1):59-64.
  • 8Pietrasik G,Goldenberg I,Idzienicka JA,et al.Prognostic significance of fragmented QRS complex for predicting the risk of recurrent cardiac events in patients with Q wave myocardial infarction[J].Am J Cardiol,2007,100(4):583-586.
  • 9Das MK,Saha C,Elmasry H,et al.Fragmented QRS on a 12-lead ECG:a predictor of mortality and cardiac events in patients with coronary artery disease[J].Heart Rhythm,2007,4(11):1385-1392.
  • 10Das MK,Suradi H,Maskoun W,et al.Fragmented wide QRS on a 12-lead ECG:a sign of myocardial scar and poor prognosis[J].Circ Arrhythm Electrophysiol,2008,1 (4):258-268.

引证文献30

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心血管病学进展
2009年 第3期

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