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患者女性,33岁。临床诊断:扩张性心肌病,心力衰竭。附图为Ⅱ及V_1导联,非同步描记。窦性P波快速发生,略有不齐,频率108次/分,半数以上埋藏于非阵发性室速(频率54次/分)伴室早之QRS或ST-T内,另有一部分P波虽在QRS波之前,但二者显然无关,仅Ⅱ导联的R_((?)、11)由窦性P波下传产生,从而发生了长阵房室分离。心电图诊断:1.窦性心动过速伴轻度不齐,非阵发性室速伴室早二联律引起长阵干扰性房室分离。
Patient female, 33 years old. Clinical diagnosis: dilated cardiomyopathy, heart failure. The photo is Ⅱ and V_1 lead, unsynchronized trace. Sinus P wave occurred rapidly, slightly irregular, frequency of 108 beats / min, more than half buried in the non-paroxysmal ventricular tachycardia (frequency of 54 beats / min) with early ventricular QRS or ST-T, and another part of P Although the wave in the QRS wave before, but the two have obviously nothing to do, only lead Ⅱ R _ ((?), 11) produced by the sinus P wave down, resulting in long atrio-ventricular septal separation. ECG diagnosis: 1. sinus tachycardia with mild irregularity, non-paroxysmal ventricular tachycardia caused by a long array of dual interference atrioventricular separation.