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急性左心力衰竭致短暂巨大倒置T波1例报道

A case report of transient giant inverted T wave caused by acute left heart failure
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摘要 巨大倒置T波是指体表心电图有3个以上导联出现深度>1.0 mV的倒置T波,且QT间期延长。巨大倒置T波为交感激活所致,因此又称交感性T波。常见于脑型T波(Niagara瀑布样T波)、缺血性T波(Wellen’s综合征、峡谷T波)、心脏记忆性T波、全导联倒置T波、Takotsubo综合征T波。本文就急性左心力衰竭后心电图出现短暂迟发巨大倒置T波罕见病例1例进行报道。 Giant inverted T wave refers to the inverted T wave with depth > 1.0 mV in more than three leads of body surface electrocardiogram,and the QT interval is prolonged.The giant inverted T wave is caused by sympathetic activation,so it is also called sympathetic T wave.It is common in brain type T wave(Niagara waterfall T wave),ischemic T wave(Wellen’s syndrome,canyon T wave),cardiac memory T wave,whole lead inverted T wave and takotsubo syndrome T wave.This paper reports a rare case of transient and delayed giant inverted T wave in electrocardiogram after acute left heart failure.
作者 罗军伟 章晓红 LUO Junwei;Zhang Xiaohong(Department of Emergency,Pidu District Pepole's Hospital,Chengdu 611730,China)
出处 《临床合理用药杂志》 2021年第9期152-154,共3页 Chinese Journal of Clinical Rational Drug Use
基金 四川省科技厅科普培训项目(2019JDKP0056)。
关键词 急性左心力衰竭 巨大倒置T波 交感性T波 交感过度激活 Acute left heart failure Giant negative T wave Sympathetic T wave Sympathetic overactivation
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