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Giant U waves: an important clinical clue

机译:巨型U波:重要的临床线索

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Abstract: Electrocardiographic U waves are a common clinical finding, and yet are poorly understood by many physicians. They can be seen in many clinical conditions, most importantly hypokalemia and ischemic heart disease. Over the years, many theories have been put forth to explain their origin. While still not completely understood, it now appears that mechanoelectrical interactions are responsible for normal U waves. Pathologic U waves may be seen in ischemic heart disease where they sometimes point to acute ischemic events. The large U waves of hypokalemia are most likely not true U waves but rather the terminal deflection in a bifid T wave.
机译:摘要:心电图U波是一种常见的临床发现,但许多医生对此知之甚少。可以在许多临床情况下看到它们,最重要的是低血钾和缺血性心脏病。多年来,提出了许多理论来解释其起源。尽管仍未完全理解,但现在看来,机电相互作用是导致正常U波的原因。在缺血性心脏病中可能会见到病理性U波,有时它们指向急性缺血事件。低钾血症的大U波很可能不是真正的U波,而是双歧T波的终末偏转。

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