| 体表心电图定位房室旁道的探讨 |
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| 引用本文： | 田福利,杜日映,王毅,罗景兰.体表心电图定位房室旁道的探讨[J].第四军医大学学报,1996(3). |
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| 作者姓名： | 田福利 杜日映 王毅 罗景兰 |
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| 作者单位： | 第四军医大学唐都医院心脏内科 |
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| 摘 要： | １８１例预激综合征经心外膜标测（ＥＣＭ）或心内膜标测（ＥＰＳ）后，手术切断或射频消蚀术（ＲＦＣＡ）阻断房室旁道（ＡＰ）而治愈．回顾性分析体表１２导联心电图（ＥＣＧ）定位ＡＰ特征，提出了两套建议性诊断标准和一种鉴别诊断标准：①显性预激旁道（ＭＡＰ）诊断标准．对左侧ＡＰ其诊断特异性、敏感性分别是１００％和９７％．对右侧及间隔ＡＰ其诊断敏感性、特异性均在９２％以上．②隐匿性预激旁道（ＣＡＰ）诊断标准，其诊断准确率仅达６０％．③房室折返性心动过速（ＡＶＲＴ）与房室结折返性心动过速（ＡＶＮＲＴ）鉴别诊断要点是Ｒ－Ｐ＇间期长短．体表ＥＣＧ定位有助于术前做好技术及物质力量的准备
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| 关 键 词： | 房室旁道 预激综合征 体表心电图 旁路定位 消融术.外科 消融术.射频导管 |
Localization of accessory atrioventricular pathway in pre excitation syndrome by 12 lead electrocardiogram |
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| Tian Fuli,Du Riying,Wang Yi,Luo Jinglan.Localization of accessory atrioventricular pathway in pre excitation syndrome by 12 lead electrocardiogram[J].Journal of the Fourth Military Medical University,1996(3). |
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| Authors: | Tian Fuli Du Riying Wang Yi Luo Jinglan |
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| Affiliation: | Tian Fuli,Du Riying,Wang Yi,Luo Jinglan Department of Cardiology,Tangdu Hospital,Fourth Military Medical University,Xi'an 710038 |
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| Abstract: | In 181 cases with WPW syndrome the 191 accessory pathways (AP) were localized by epicardial mapping or electrophysiological study and were ablated by heart opening operation or radiofrequency catheter. Quite accurate localization of AP could be accomplished by retrospective analysis of their electrocardiogram. Two sets of recommendatory criteria and one set of criteria of differential diagnosis were proposed, namely: (1) Criteria for the localization of manifest AP, the sensitivity and specificity of which were more than 92%; (2) Criteria for the localization of concealed AP, the correct rate of which was about 60% only; (3) Criteria of differential diagnosis of atrioventricular reciprocating tachycardia and atrioventricular nodal reentrant tachycardia. |
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| Keywords: | accessory atrioventricular pathway Wolff Parkinson White syndrome surface electrocardiogram localization of accessory pathway ablation surgical and radiofrequency catheter |
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