WIDE QRS COMPLEXES - ELECTROPHYSIOLOGIC BASIS OF A COMMON ELECTROCARDIOGRAPHIC DIAGNOSIS

被引:9
作者
JAZAYERI, MR
SRA, JJ
AKHTAR, M
机构
[1] Electrophysiology Laboratory, University of Wisconsin Milwaukee Clinical Campus, Sinai Samaritan Medical Center, Mount Sinai Campus, Milwaukee, Wisconsin
关键词
VENTRICULAR TACHYCARDIA; BUNDLE BRANCH BLOCK; SUPRAVENTRICULAR TACHYCARDIA; PREEXCITED TACHYCARDIA;
D O I
10.1111/j.1540-8167.1992.tb00981.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Wide QRS complex tachycardia is a commonly encountered arrhythmia and its appropriate diagnosis often poses a challenge to most physicians. The origin of a wide QRS complex is either supraventricular with abnormal ventricular activation or ventricular. This review addresses the main electrophysiologic mechanisms involved in the genesis of a wide QRS complex and its maintenance as a sustained arrhythmia.
引用
收藏
页码:365 / 393
页数:29
相关论文
共 57 条
  • [1] Lewis T, Observations upon disorders of the heart's action, Heart, 3, pp. 279-300, (1912)
  • [2] Langendorf R, Aberrant ventricular conduction, Am Heart J, 41, pp. 700-707, (1951)
  • [3] Moe GK, Mendez C, Han J, Aberrent AV impulse propagation in the dog heart. A study of functional bundle branch block, Circ Res, 16, pp. 261-286, (1965)
  • [4] Cohen SI, Lau SH, Haft JI, Et al., Experimental production of aberrant ventricular conduction in man, Circulation, 36, pp. 673-685, (1967)
  • [5] Cohen SI, Lau SH, Stein E, Et al., Variations of aberrant ventricular conduction in man: Evidence of isolated and combined block within the specialized conduction system, Circulation, 38, pp. 899-916, (1968)
  • [6] Denker ST, Gilbert CJ, Shenasa M, Et al., An electrocardiographic‐electrophysiologic correlation of aberrant ventricular conduction in man, J Electrocardiol, 16, pp. 269-277, (1983)
  • [7] Denker ST, Shenasa M, Gilbert CJ, Et al., Effects of abrupt changes in cycle length on refractoriness of the His‐Purkinje system in man, Circulation, 67, pp. 60-68, (1983)
  • [8] Cohen SI, Lau SH, Scherlag BJ, Et al., Alternate patterns of premature ventricular excitation during induced atrial bigeminy, Circulation, 39, pp. 819-829, (1969)
  • [9] Denker ST, Lehmann MH, Mahmud R, Et al., Effects of alternating cycle lengths on refractoriness of the His‐Purkinje system in man, J Clin Invest, 74, pp. 559-570, (1984)
  • [10] Chilson DA, Zipes DP, Heger JJ, Et al., Functional bundle branch block: Discordant response of right and left bundle branches to changes in heart rate, Am J Cardiol, 54, pp. 313-316, (1984)