心室预激心电图现象能称为预激综合征吗?

Can the phenomenon of ventricular pre-excitation in ECGs be called pre-excitation syndrome?

关于心室预激心电图现象能否称为预激综合征,国内尚有争议。本文通过回顾预激综合征的认识过程和预激性心肌病的发现,认为预激综合征是规范命名,其心电图及临床特征有不同的表现形式。提出既有心室预激心电图现象又有心动过速发作史者,可称为预激综合征;但只要具有心室预激心电图现象,即使无心动过速发作史者亦可称为预激综合征;同理,无心室预激心电图现象,但有由旁路参与的心动过速者也可称为预激综合征;具有心室预激心电图现象,无心动过速发作,但表现为左室收缩功能下降者,毫无疑问,也应称为预激综合征。

Domestic dispute remains on whether the phenomenon of ventricular pre-excitation in ECGs can be called pre-excitation syndrome.This paper reviews the cognitive process and discovery of pre-excitation syndrome that is deemed to be a normalized nomenclature with different patterns of manifestation in ECGs and clinical features.Emergence of the phenomenon of ventricular pre-excitation in ECGs combined with a history of tachycardia can be called pre-excitation syndrome;however,ventricular pre-excitation ECG is also suggestive of pre-excitation syndrome even though a history of tachycardia is absent.Likewise,it can also be implied by accessory pathway involved tachycardia without ventricular pre-excitation ECG.Undoubtly,it should also be diagnosed as pre-excitation syndrome for patients without tachycardia,but with ventricular pre-excitation ECG and decline of left ventricular systolic function.