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室性早搏二联律伴折返径路中顺文克白氏现象国内已不乏报道,但逆文克白氏现象却甚为罕见,现将我院遇到一例报告如下。 患者,李某,女,39岁,病志号:10903,病毒性心肌炎,因心悸胸闷一月,加重四天于94年12月5日入院。心电图检查:因为Ⅱ导连续记录,窦性心律,另可见提早出现宽大畸形的QRS波,其前无P波,代偿间歇完全,早搏形态在ⅡⅢavFV_5V_6,室早定位于左室心尖部前壁,联律间期呈逐渐缩短的周期变化,依次为0.78 s→0.66 s→0.56→0.48s,而后间隔3个窦性QRS波又出现室性早搏,联律间期迹逐渐缩短,依次为0.6 s→0.54s→0.46s正符合2n-1的规律,说明其中有一次未完成拆返,上述规律有重复性,故心电图诊断:窦性心律、室性早搏二联律伴折返径路中的逆文克白氏现象,如图所示:
Premature ventricular contractions associated with folding and folding path Shun Wacker phenomenon has no shortage of domestic reports, but the inverse Vicki White’s phenomenon is very rare, now I met a hospital report as follows. Patient, Lee, female, 39 years old, pathology number: 10903, viral myocarditis, chest tightness due to palpitations in January, increased four days in December 5, 94 admission. ECG: continuous recording of Ⅱ lead, sinus rhythm, and the other can see the early emergence of large deformity of QRS wave, without P wave, compensatory intermittent complete, premature beats in Ⅱ Ⅲ avFV_5V_6, ventricular premature localization of the anterior wall of the left ventricular, The syndromic interval was gradually shortened cycle changes, followed by 0.78 s → 0.66 s → 0.56 → 0.48s, and then after an interval of 3 sinus QRS wave and premature ventricular contractions, syndrom track gradually shorten, followed by 0.6 s → 0.54s → 0.46s is consistent with the law of 2n-1, indicating that one of them failed to complete the demolition of the above laws have repeatability, so the ECG diagnosis: sinus rhythm, premature ventricular premature beats with foldback path inverse Grams of white phenomenon, as shown: