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高钙血症和其他导致-间期缩短的原因

时间:2022-05-04 理论教育 版权反馈
【摘要】:高钙血症可以缩短窦性心律患者的Q-T间期,其心电图特征为短的Q波至T波顶点间期、偶见ST段消失和T波倒置。洋地黄亦可缩短以R为主之导联的Q-T间期。另外,Q-T间期缩短还可见高温、高钾血症和自主神经张力改变等。一种以校正Q-T间期缩短、伴有严重室性心律失常,甚至可诱发猝死为特征的先天性短Q-T间期综合征亦见报道。

高钙血症可以缩短窦性心律患者的Q-T间期,其心电图特征为短的Q波至T波顶点间期、偶见ST段消失和T波倒置。洋地黄亦可缩短以R为主之导联的Q-T间期。另外,Q-T间期缩短还可见高温、高钾血症和自主神经张力改变等。一种以校正Q-T间期缩短(短于300ms)、伴有严重室性心律失常,甚至可诱发猝死为特征的先天性短Q-T间期综合征亦见报道。

参考文献

[1] Ammann P, Sticherling C, Kalusche D, et al. An electrocardiogram-based algorithm to detect loss of left ventricular capture during cardiac resynchronization therapy. Ann Intern Med, 2005, 142:968-973.

[2] Antzelevith C, Shimizu W, Yan GX, et al. The M cell: its contrib.ution to the ECG and to normal and abnormal electrical function of the heart. J Cardiovasc Electrophysiol,1999,10:1124-1152.

[3] Bayes de luna A. Clinical Electrocardiography: A Textbook. Mt. Kisco, NY: Futura,1993:450.

[4] Castellanos A, Interian A Jr., Myerburg RJ. The resting electrocardiogram. In:Fuster V, O’Rourke RA, Walsh RA, et al., eds. Hurst’t The Heart. 12th ed. New York,NY:McGraw-Hill, 2008:294-323.

[5] Macfarlane PW, Lawrie TDV, eds. Comprehesnive Electrocardiology: Theory and Practice in Health and Disease. New York, NY: Pergamon, 1989.

[6] Malik M, Acar B, Gang Y, et al. QT dispersion does not represent electrocardiographic interlead heterogeneity of ventricular repoparization. J Cardiovasc Electrophysiol,2000,11:835-843.

[7] Rosenbaum MB, Elizari MV, Lazzari JO. The Hemiblocks. Oldsmar, FL: Tampa Tracings,1970.

[8] Wagner GS. Marriott’s Practical Electrocardiography. 10th ed. New York, NY:Lippincott Williams & Wilkins, 2000.

[9] Wellens HJJ, Conover M. The ECG in Emergency Decision Making. 2nd ed. St. Louis,MO:Saunders, Elsevier, 2006.

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