患者男性，20歲，健康體檢，既往史和家族史不詳，常規(guī)心電圖檢查如下。
心電圖特征：
心電圖解析：
ST段縮短甚至消失，QRS波后直接跟隨高聳的T波。
早復極比例更高(65%vs10%)，J點型ST抬高。
J點至T波頂峰距離更短，<120ms可以較好區(qū)分SQTS和良性QT縮短【2】。
PR段壓低，常見于II、III、V3導聯(lián)。
圖2
-------------------------------------
作者簡介：
參考文獻：
【1】Priori SG, Blomstr?m-Lundqvist C, et al. ESC Scientific Document Group. 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC). Eur Heart J. 2015 Nov 1;36(41):2793-2867. doi: 10.1093/eurheartj/ehv316. Epub 2015 Aug 29.
【2】Gollob MH, Redpath CJ, Roberts JD. The short QT syndrome: proposed diagnostic criteria. J Am Coll Cardiol. 2011 Feb 15;57(7):802-12. doi: 10.1016/j.jacc.2010.09.048.
【3】Mazzanti A, Kanthan A, Monteforte N, Memmi M, Bloise R, Novelli V, Miceli C, O'Rourke S, Borio G, Zienciuk-Krajka A, Curcio A, Surducan AE, Colombo M, Napolitano C, Priori SG. Novel insight into the natural history of short QT syndrome. J Am Coll Cardiol. 2014 Apr 8;63(13):1300-1308. doi: 10.1016/j.jacc.2013.09.078. Epub 2013 Nov 28.
聯(lián)系客服
