一个误导性的ECG案例
Ahmed Shahab1, Uzair A Mahmood2, Amit Noheria1
1Department of Cardiovascular Medicine, The University of Kansas Medical Center, Kansas City, KS, USA.
Journal of electrocardiology
|December 20, 2023
概括
心脏起器的感染可能会导致异常的心电图发现. 严重的肺部疾病可能会取代心脏,导致误解心电图上的节奏位点.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 肺部病理学 肺部病理学
背景情况:
- 心脏起器的感染需要设备的提取.
- 电心电图 (ECG) 的解释在患有心脏器械和潜在疾病的患者中可能具有挑战性.
- 慢性阻塞性肺病 (COPD) 可以显著改变胸部解剖学.
研究的目的:
- 描述一个心脏起器感染病例.
- 突出COPD和心脏位移患者对心电图发现的潜在误解.
- 为了说明心脏位移对心室节奏ECG解释的影响.
主要方法:
- 一个老年男性患者的病例报告.
- 对心电图 (ECG) 结果的审查.
- 计算机断层扫描 (CT) 扫描用于解剖评估.
- 鼓动器设备审讯和领先评估.
主要成果:
- 患者出现了心脏起器感染,需要提取设备.
- 脑电图显示了节奏的QRS复合体,其形态暗示左心室节奏 (V1中的R波,I中的QS).
- 脑电图扫描显示,由于严重的COPD,心脏明显向左和向后移动.
- 这种解剖学移位解释了右心室节奏如何模仿心电图上的左心室节奏.
结论:
- 严重的COPD可能会导致心脏位移,改变心电图形态.
- 在心脏移位的情况下,右心室节奏可能被误解为左心室节奏.
- 意识到肺部疾病导致的解剖学变化对于心脏起器患者精确的心电图解释至关重要.
相关概念视频
Electrocardiogram
2.3K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.3K
Electrocardiogram Fundamentals
602
Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin...
602
Instrumentation Amplifier
524
An electrocardiography (ECG) machine is an essential piece of medical equipment used to monitor the electrical activity of the heart. It operates by detecting small electrical changes on the skin that result from the depolarization of the heart muscle during each heartbeat. However, these signals are in the microvolt range and can be easily overwhelmed by noise or interference.
To overcome this challenge, an ECG machine utilizes an instrumentation amplifier. This specialized amplifier is...
To overcome this challenge, an ECG machine utilizes an instrumentation amplifier. This specialized amplifier is...
524
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
217
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
217
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
19
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
19
ECG Interpretation of Rhythms
965
An electrocardiogram (ECG)graphically represents the heart's electrical activity on ECG paper or a monitor.
Components of the Electrocardiogram
The primary components of a normal ECG waveform in Normal sinus rhythm(NSR) include the P wave, PR interval, QRS complex, ST segment, T wave, and occasionally a U wave.
ECG waveforms are divided by vertical and horizontal lines at standard intervals.
The horizontal axis measures time and rate, and the vertical axis measures amplitude or voltage....
Components of the Electrocardiogram
The primary components of a normal ECG waveform in Normal sinus rhythm(NSR) include the P wave, PR interval, QRS complex, ST segment, T wave, and occasionally a U wave.
ECG waveforms are divided by vertical and horizontal lines at standard intervals.
The horizontal axis measures time and rate, and the vertical axis measures amplitude or voltage....
965


