论文部分内容阅读
患者男性,56岁。临床诊断:冠心病。动态心电图诊断:(1)窦性心律;(2)频发室性早搏伴折返径路中文氏和反文氏型传导。下图示CM5导联,基本心律为窦性,频率约79次/min,可见频发室性早搏二联律,上行CM5导联,室早与前面正常心搏的联律间期逐渐延长,由0.44s—→0.48s—→0.56s—→早搏消失,连续出现两次窦性搏动,呈短—→长—→较长的规律性变化。下行CM5导联,示室早联律间期逐渐缩短,由0.96s—→0.88s—→
Male patient, 56 years old. Clinical diagnosis: coronary heart disease. Holter monitoring: (1) sinus rhythm; (2) frequent ventricular premature beats with folding back path Chinese and anti-type conduction. CM5 lead under the graph, the basic rhythm of sinus, frequency of about 79 beats / min, we can see frequent premature ventricular premature beats, uplink CM5 lead, ventricular premature ventricular systolic phase in front of and gradually extended, From 0.44s- → 0.48s- → 0.56s- → premature beats disappeared, there were two consecutive sinus beats, was short - → long - → longer regular changes. Down CM5 leads, showing room early couplets gradually shorten the period, from 0.96s- → 0.88s- →