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我们近日遇到1例宽QRS波心动过速的患者,其心电图诊断尚不明确,故请教同道及专家指点迷津。患者男、48岁,既往有“心包炎”病史。因心悸、胸闷半天就诊。入院时血压110/70mmHg,神志清楚,呼吸急促,心动过速,但律齐,双肺无异常,腹软,无压痛,双下肢无水肿。心电图(图1A)示:宽QRS波心动过速,心率250bpm,律齐,Ⅱ、aVR、V3～V6导联的等电线消失,Ⅰ、Ⅲ、V2导联的QRS波前似有心房波。静脉推注利多卡因无效,经电击
We recently encountered a case of wide QRS tachycardia in patients with ECG diagnosis is not clear, it is advice fellow experts and experts. Male patient, 48 years old, had a history of “pericarditis”. Due to heart palpitations, chest tightness, half-day treatment. Admission of blood pressure 110 / 70mmHg, Consciousness, shortness of breath, tachycardia, but Law Qi, lungs no abnormalities, abdominal soft, no tenderness, no lower extremity edema. ECG (Figure 1A) shows: wide QRS wave tachycardia, heart rate 250bpm, law Qi, Ⅱ, aVR, V3 ~ V6 leads the disappearance of electrical lines, Ⅰ, Ⅲ, V2 lead QRS wave appears to be atrial wave. Intravenous injection of lidocaine invalid, by electric shock