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- W2350191489 abstract "Objective:To evaluate the value of surface electrocardiogram clues for the differential diagnosis of wide QRS complex tachycardia.Methods:208 cases of surface ECGs of 192 patients with wide QRS complex tachycardia were analyzed retrospectively.The definitive diagnosis was made by intracardiac electrophysiological study.Results:The valuable surface ECG clues for diagnosis of ventricular tachycardia were as follows:(1)evidence of atrioventricular dissociation;(2)axis of “no man's land”;(3)presence of negative or positive concordance of QRS complex in all precordial leads;(4)absence of RS complex in any precordial lead;(5)QRS morphology of tachycardia with right bundle branch block type in lead V1 was characterized by qR,RS or “left rabbit ear” sign and QRS morphology in lead V6 was characterized by QS,QR or R;QRS morphology of tachycardia with left bundle branch block type in lead V1 or V2 was characterized by RS with the duration of R wave greater than 30 ms or RS interval greater than 60 ms or blunt S wave and QRS morphology in lead V6 was characterized by QS or QR or qR wave;(6)QRS morphology of the tachycardia was same as that of ventricular premature beat during sinus rhythm.Manifested preexcitation syndrome or the QRS morphology of the tachycardia was same as that of atrial premature beat during sinus rhythm,which were useful for the diagnosis of superventricular tachycardia with wide QRS complex.Conclusion:Surface ECG clues are valuable for differential diagnosis of wide QRS complex tachycardia." @default.
- W2350191489 created "2016-06-24" @default.
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- W2350191489 date "2006-01-01" @default.
- W2350191489 modified "2023-09-23" @default.
- W2350191489 title "Evaluation of surface electrocardiogram clues for differential diagnosis of wide QRS complex tachycardia" @default.
- W2350191489 hasPublicationYear "2006" @default.
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