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Differentiation of atrial tachycardia from other long RP tachycardias by electrocardiographic characteristics

机译:心电图特征鉴别房性心动过速与其他长RP心动过速

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Background: The incidence and electrocardiographic characteristics of atrial tachycardia (AT) among long RP tachycardias have not been fully elucidated. Methods and results: Thirty-six patients with 37 long RP tachycardias were classified as having AT (n=23) or non-AT (n=14). We analyzed the electrocardiographic features, including the ratio between the RP and PR intervals (RP/PR ratio), P-wave morphology, and P-wave duration. The RP/PR ratio was higher in AT than in non-AT (2.01+/-0.54 vs. 1.57+/-0.24, P =1.65, absence of negative P wave in the inferior leads, or a P-wave duration of >96ms. Conclusion: AT accounted for nearly two thirds of long RP tachycardias in this cohort. Electrocardiographic features, including the RP/PR ratio, polarity of the P wave, and P-wave duration were useful in the differentiation of AT.
机译:背景:长期RP心动过速中房性心动过速(AT)的发生率和心电图特征尚未得到充分阐明。方法和结果:36例37例长RP型心动过速患者被分为AT(n = 23)或非AT(n = 14)。我们分析了心电图特征,包括RP和PR间隔之间的比率(RP / PR比率),P波形态和P波持续时间。 AT的RP / PR比高于非AT(2.01 +/- 0.54 vs. 1.57 +/- 0.24,P = 1.65,下导联中没有负P波,或者P波持续时间> 96ms。结论:在该队列中,AT占了长RP心动过速的近三分之二,包括RP / PR比,P波的极性和P波持续时间在内的心电图特征对AT的鉴别很有帮助。

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