完全性左束支阻滞伴魏金斯基现象1例

One case of CLBBB with Wendensky′s phenomenon

1病例资料患者,女,56岁,胸闷、乏力1年,因近1周症状加重就诊。心电图示：P波顺序出现,时间、形态正常,心律齐,形态规则,心率86次/min,P-R间期0.19s,QRS增宽（0.13s）,形态符合完全性左束支阻滞;连续描记的长Ⅱ导显示,在自动更换导联之后可见提前出现的、形态变异的QRS波群（0.09s）,代偿间歇完全,其前的P波与其无关,符合室性期前收缩,但在室性期前收缩后窦性P波连续下传的QRS波时间、形态正常（0.08s）,R-R间期无变化（0.19s）,见图1。心电图诊断：窦性心律、间歇性完全性左束支阻滞、左束支魏金斯基现象。

Summary The patient was female, 56 years old, consulted chest distress and palpitation for one year and symptoms aggravated for lhis week. The E（＇G demonstraled some ventrieular premature beats. The symptoms were relieved and arrhythmla disappeared after medicine treatmenl with coronary artery dilator and anti arrhythmia drug for a week.