摘要
目的探讨高血钾所致窦室传导的心电图表现及特征,及其与临床预后的关系。方法观察16例窦室传导患者的临床及心电图改变。结果 16例高血钾患者的临床及心电图均符合窦室传导,但其表现形式和演变特征不同,发现存在以下类型:①快速匀齐型;②缓慢匀齐型;③文氏或二度Ⅱ型阻滞型;④慢-快型;⑤不规则型;⑥类Brugada波样改变型。结论心电图诊断高血钾引起的窦室传导具备相对特异性,明确其类型,对患者病情变化的判定及治疗有一定临床意义。
Objective To explore the electrocardiogram（ECG） types and characteristics of sinoventricular conduction（S-VC） caused by hyperkalemia and correlations with clinical prognosis. Methods To evaluate the characteristics and types of 16 patients with hyperkalemia caused S-VC. Results The clinic and ECG findings of the 16 cases with hyperkalemia were in accordance with the characteristics of S-VC, but they have different manifestations and evolution characteristics. Six ECG types are determined as follows： ①ECGs with a evenly tachyarrhythmia; ②ECGs with a evenly bradyarrhythmia; ③ECGs with Wenckebach′s phenomenon or second degree type Ⅱ block; ④ECGs with a slow-fast arrhythmia; ⑤ECGs with irregular arrhythmias; ⑥ECGs with Brugada wave. Conclusion ECG is relatively specific for the diagnosis of S-VC caused by hyperkalemia, and identifying of different types of arrhythmias is of certain clinical significance in determining the condition changes and treatment.
出处
《临床心电学杂志》
2012年第6期415-418,共4页
Journal of Clinical Electrocardiology
关键词
高血钾
心电图
窦室传导
hyperkalemia
electrocardiogram
sinoventricular conduction
