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Pathophysiological links, echocardiographic characteristics, and clinical implications of QRS morphology in patients with dilated cardiomyopathy

机译:扩张型心肌病患者的病理生理联系,超声心动图特征和QRS形态的临床意义

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Heart failure is an important clinical problem worldwide. There is great interest in evaluating the relationship between electrocardiographic variations and dilated cardiomyopathy (DCM) since it has been used as a predictor of increased morbidity and mortality. The presence of fragmentation in the QRS complexes on 12-lead electrocardiogram (ECG) was reported as a marker of depolarization abnormality in patients with DCM. Previous studies have investigated the relation between QRS morphology and DCM. QRS morphology and duration are associated with clinical deterioration and increased mortality in patients with DCM. Although surface ECG provides valuable information on prognosis of these patients, echocardiographic methods have been used for further investigation of patients with DCM. The aim of the present review is to provide an overview of the pathophysiological links, echocardiographic characteristics and clinical implications of QRS morphology in patients with DCM.
机译:心力衰竭是全世界重要的临床问题。评估心电图变异与扩张型心肌病(DCM)之间的关系引起了极大的兴趣,因为它已被用作发病率和死亡率增加的预测指标。据报道,在12导联心电图(ECG)上QRS络合物中存在碎片,是DCM患者去极化异常的标志。先前的研究已经研究了QRS形态与DCM之间的关系。 QRS形态和持续时间与DCM患者的临床恶化和死亡率增加相关。尽管表面心电图可为这些患者的预后提供有价值的信息,但超声心动图方法已用于进一步研究DCM患者。本综述的目的是概述DCM患者QRS形态的病理生理联系,超声心动图特征和临床意义。

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