ECG Case Analysis 49: Slow Express Room Folding Removal Tummy Super Speed

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ECG Case Analysis 49: Slow Express Room Folding Removal Tummy Super Speed

2022-01-28 12:05:00 37 ℃

[Guide] Slow-Express Room Folding Tummy is most common, its seizures is independent of age and disease factors, more common in women. Clinically, palpitations, syncies and heart failure can cause the symptoms depending on the frequency of arrhythmia, duration and whether there is an essential severity of the organic heart disease. Because of sudden loss of auxiliary filling ventricular role

Instance analysis:

I. Legend:

Patient male, 68 years old, with burst palpism, chest tightness 1 hour ago. HB: 150 / 90mmHg. Clinical diagnosis: coronary heart disease.

ECG diagnosis:

Slow - Expressway Room Folding Feeling Tummy

Second, knowledge points:

In the legend, a series of narrow QRS wave group cardians, frequency of 200 bpm, and the V1 forming a false R 'wave, and the lower wall leader has an S wave, so considering the slow-expressing room endless endless tachycardia.

Slow - Express Room Folding Tummy Tummy Tummy Tummy Extraction:

1. The frequency of tachycardia is 150 ~ 220bpm.

2. The R-R questioning period is uniform when there is no passive block.

3. The heart is induced by sinus, housing, and junior premature beats, and induced the pheasant P'R suddenly extended. From the ventricular premature beats, the RP 'is short, and the P'R is long.

4. P 'and ORS Time Relationship: The atrium and ventricles are almost simultaneously with the ventrication, and the P-wave is unable to distinguish between ORS waves. In a few cases, retrograde P 'After the ORS wave group, the RP question period is less than 90ms, and the RP' intercept is less than the P 'R interpede. 5. Reaction to ** vagulent nerve: ** The vagus nerve can terminate the tachycardia.

6. The reaction of premature beats: If there is a premature beat, the heart can be terminated.

Sign in. The tachycardia can occur in a room out of stamping and the atrial blocking.

Slow - Expressway Room Folding Reconstruction Topic Surveying Spai RP 'Narrow QRS Type Heart Surplus, In Short RP' Narrow QRS Type Heat Exercise Super Speed ​​Super Speed, Slow - Express Room Referring tachycardia and branch ventricular tachycardia. Housing is subjected to a slow path of slow trails, and the V1 lead V5 lead discovery is hidden in the previous QRS wave group P 'wave. The branch-type ventricular tachycardia qrs wave is often manifested as the left front branch blocking pattern, and the V5 and V6 leads R / S <1.

Third, clinical significance

Slow-Express Room Complete Tummy Tummy is most common, and its seizures has nothing to do with age and disease factors. It is more common in women. Clinically, palpitations, syncies and heart failure can cause the symptoms depending on the frequency of arrhythmia, duration and whether there is an essential severity of the organic heart disease. Due to sudden losing auxiliary filling ventricular effect, hypotension and syncope can occur, and the atrial pressure can be increased significantly, and acute pulmonary edema and ventricular filling are reduced. For patients with low blood pressure, use ** vagus nerve, especially in compressing sinus, 80% of cases can terminate this arrhythmia. It is also possible to select an antiarrhythmic drug propapricone, Viller Pammi, triphosphate adenosine, etc. When the drug cannot be terminated, the esophagus pace or the intra-organizer electrical ** can be selected to terminate.

references:

1. Editor-in-chief of Lu Shilie.Chematical Technical Standardization Training Outline [M]. Beijing: People's Military Medical Press, 2014.12.

2. HEIN J. J. Wellens, Mary Conover Out of Personnel [M]. Beijing: Beijing Medical University Press, 2008.09

3. History, Yang Tianlun, Yan Zhifang, editor. Xiangya Classic ECG Diagnostic Magence and Analysis [M]. Changsha: Hunan Science and Technology Press, 2014.10.

4. Huang Wei Bin, Diagnosis of Tattic Strong Tattic Tarten [J]: Internal Medicine Journal. 2016.22 (6)

Expert profile

Chen Haiking, the Fourth People's Hospital of Haimen City (Town Center Health Center) Cartiogram Office, attending physicians, working on grassroots ECG, has been learning from teachers.

Ai Ai Medical Medical Forum Super moderator, created a love medical medicine forum heartmaphe EEG version of the editor's "Color Concise ECG Handbook" in July 2006, participated in the editorial "ECG Clinical Interpretation", "ECG Master Speed ​​Masterbook".

This article is authorized by the teacher of Chen Hai Bing!