心电图对预激综合征房室旁道定位的评价Accuracy Assess of Five Criterims of Electrocardiogram for Locating Accessory Pathways in Patients With Wolff-Parkinson-White Syndrome
李莉,张玉威,钱武扬,汪曾炜,全薇,师绿江
摘要(Abstract):
选择五种文献报告的心电图房室旁道定位的标准,对30例正常人和45例经手术治愈的预激综合征患者术前心电图进行定位诊断.以心脏标测和手术证实的旁道部位和正常人无房室旁道为金标准,依据五种标准对本组资料的判定结果进行定位准确性评价.各标准特异度均为100%,其敏感度依次为:Rosenbaum标准93.3%,Gallagher标准71.1%.WHO标准64.4%,Lindsay标准60%,Reddy标准53.3%.笔者综合以上标准优点及本组资料,初步提出常见房室旁道部位定位特征.
关键词(KeyWords): 预激综合征;心电图;房室旁道;定位
基金项目(Foundation):
作者(Author): 李莉,张玉威,钱武扬,汪曾炜,全薇,师绿江
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参考文献(References):
- [1] 袁世文,张玉威,钱武扬,等.预激综合征旁路的电生理定位和心外膜标测.中华心血管病杂志,1987,15:266.
- [2] Rosenbaum FF,Hechet HH,Wilson FN,et al.The potential variations of the thorax and the esophagus in anomalous atrioventricular excitation(Wolff-Parkinson-White syndrome).Am Heart J,1945,29:281.
- [3] Gallagher JJ,Pritchett ELC,Sealy WC,et al.The preexcition syndrome.Prog Cardiovasc Dis,1978,20:285.
- [4] Willems JL,Robles de Medina EO,Bernard R,et al.Criteria for intraventricular conduction disturbances and Pre-excitation.J Am Coll Cardiol,1985,5:1261.
- [5] Lindsay BD,Crossen KJ,Cain ME.Concordance of distinguishing electrocardiographic features during sinus rhythm with the location of accessory pathways in the Wolff-Parkinson-White Synrome.Am J Cardiol,1987,59:1093.
- [6] Reddy GV,Schamroth L.The localization of bypass tracts in the Wolff-Parkinson-White syndrome from the surface electrocardiogram.Am Heart J,1987,113:984.