心电图碎裂QRS波的临床意义

Clinical Significance of Fragmented QRS Waves on ECG

碎裂QRS波(f QRS)是近年来心电图学研究的热点,其作为一项评估心肌瘢痕化、心室除极不均一的心电学标志物,对心肌损伤所致的心肌坏死性疾病、心功能不全及异常电活动所致的心律失常等具有较好诊断价值。其简便易学,用途广泛,廉价易于检查操作,不失为未来的一项新的心电学标志物。现对f QRS波的概念、形成机制、其在各类心血管疾病诊断中的相关研究及临床价值进行综述,以求促进其在临床心血管疾病诊治中的推广应用。

Fragmented QRS （fQRS） wave, the recent year＇ s hot spot of electrocardiography （ECG） studies, has been recently proposed as an important index of ECG to assess myocardial scarring and non-uniform ventricular depolarization. The fQRS also has better diagnosis value in myocardial necrosis disease caused by myocardial injury, cardiac insufficiency, arrbythmia caused by abnormal electrical activity and so on. It is easy to learn, cheap and easy to operate, and has many usages,which may be a new ECG makers in the future. Here is to make a review of the concept, formation mechanism, the related research and clinical value in diagnosis of different kinds of cardiovascular diseases of fQRS, so as to promote the application of fQRS in the clinical diagnosis and treatment of cardiovascular diseases.