摘要
目的报告6例Lev氏病及其临床、心电图特点。方法6例高龄晕厥、心电图为单侧束支传导阻滞伴间歇性一度～三度房室传导阻滞的患者 ,均进行常规心内希氏束电图检查 ,确定房室传导阻滞的部位 ,并确定是否存在双侧束支传导阻滞。结果6例房室传导阻滞的部位均位于希浦系(H_V间期 )。心电图、心内电图及临床表现的特点符合Lev氏病 ,且都植入了永久心脏起搏器治疗。结论熟悉Lev氏病的临床及心电图特征 ,是其能获及时诊断与治疗的关键。
Objective To report clinical and electrocardiogram characteristics in patients with Lev′s disease. Methods Six senile patients with syncope had the electrocardiogram of single bundle branch block as well as intermittent Morbitz II type or complete atrioventricular block. Standard hisians bundle electrogram was recorded in all patients to reveal block site. Results Local hisians electrogram showed that block were in His _ Purkenje system in all 6 patients. Surface ECG, intracardiac electrogram and clinical manifestation of 6 patients were identical to features of Lev′s disease. All patients had been implanted with a permanent cardiac pacemaker. Conclusion Under stanting specificity of clinical and ECG figures is key to diagnose and treat patients with Lev's disease promptly. [
出处
《心电学杂志》
2002年第1期6-9,共4页
Journal of Electrocardiology(China)
