心动过速

Methods 14 cases of sudden cardiac death or cardiac syncope by malignant rapid ventricular arrhythmia of long interval dependent ventricular extrasystole, including 8 TdP cases 、5 VF cases and 1 VT case were treated by temporary cardiac pacing.

长间歇依赖室性早搏诱发的恶性快速性室性心律失常所导致的心源性晕厥或猝死患者共14例，包括尖端扭转型室性心动过速 8例，室颤5例（2例由TdP转化而来），持续性单形性室性心动过速1例，呈反复发作的特点，予临时心脏起搏治疗。

Junctional ectopic tachycardia and/or ventricular tachycardia may be characteristic of an acute stage of heart block.

交界性异位心动过速和/或室性心动过速可能是心脏传导阻滞急性期的特征。

Other 1 electric physiology check and bring out person who happens tachycardia adopt and blow、 fight、 mark and examine, only 10 lead and unite trying to melt identically, the room tachycardia of recidivation of one month after the skill .

另外1例电生理检查未诱发出心动过速者经采用起搏标测，仅10导联相吻合试行消融，术后一个月再发室性心动过速。

Succeed case use any resist arrhythmia cordis medicine , follow up a case by regular visits to and meet the room nature tachycardia of recidivation half a year after the skill.

另外1例电生理检查未诱发出心动过速者经采用起搏标测，仅10导联相吻合试行消融，术后一个月再发室性心动过速。

Among them 5 right room getting idiopathic room speed 4 melt target ordered and lie to flow out an alternate department, one lie and flow out dish and dissociate the side; 7 left room getting idiopathic room speed 5 melt some target on left ventricle underpart of the interval, 1 left ventricle flow out dish, 1 nearly apex of the heart department fail to bring out the tachycardia steadily, can bring out behind the skill, but the room nature tachycardia of recidivation while following up a case by regular visits to February, do and melt to achieve success moreover.

其中5例右室特发性室速中4例消融靶点位于流出道间隔部，1例位于流出道游离侧；7例左室特发性室速中5例消融靶点于左心室间隔中下部，1例左心室流出道，1例近心尖部未能稳定诱发心动过速，术后不能诱发，但随访二月时再发室性心动过速，再次行消融取得成功。

Results During isoprenaline administration the heart rate of arrhythmia in6cases went faster gradually and They were diagnosed as chronic sustained junctional tachycardia（3cases）and chronic atrial tachycardia（2cases）and sinoatrial reentrant tachycardia（1case）respectively;while the arrhythmias in other9cases disappered and turned to sinus tachycardiac and several minites after isoprenaline administration the arrhythmia in5cases recurred again,As a reˉsult,they were diagnosed non-paroxysmal ventricular（3cases）and non-paroxysmal junctional tachycardia（6cases）respectively.

结果 6例患者心动过速的频率逐渐增快，分别诊断为慢性持续性交界性心动过速（3例）、慢性房性心动过速（2例）和窦房结折返性心动过速（1例）；另9例异位心律失常消失，转变为窦性心动过速，停止滴注后数分钟5例再次出现原心律失常，诊断为非阵发性室性心动过速（3例）和非阵发性交界性心动过速（6例）。

Results During isoprenaline administration the heart rate of arrhythmia in6cases went faster gradually and They were diagnosed as chronic sustained junctional tachycardia（3cases）and chronic atrial tachycardia（2cases）and sinoatrial reentrant tachycardia（1case）respectively;while the arrhythmias in other9cases disappered and turned to sinus tachycardiac and several minites after isoprenaline administration the arrhythmia in5cases recurred again,As a reˉsult,they were diagnosed non-paroxysmal ventricular（3cases）and non-paroxysmal junctional tachycardia（6cases）respectively.

结果 6例患者心动过速的频率逐渐增快，分别诊断慢性持续性交界性心动过速（3例）、慢性房性心动过速（2例）和窦房结折返性心动过速（1例）；另9例异位心律失常消失，转变为窦性心动过速，停止滴注后分钟5例再次出现原心律失常，诊断为非阵发性室性心动过速（3例）和非阵发性交界性心动过速（6例）。

The incidence of major abnormal ECG were 7.3% for STT changes, 5.6% for sinus tachycardia, 4.4% for sinus arrhythmia, 3.4% for ventricular premature beats, 2.0% for bundle branch block and 1.8% for atrial premature beats; Apart from preexcitation syndrome, the incidence of abnormal ECG for male was higher than that of female;Most of abnormal ECG increased with age. A few abnormal ECG such as sinus tachycardia, sinus arrhythmia, sick sinus syndrome decreased with age. The incidence of sinus bradycardia and preexcitation syndrome were bail shape with age. Half of abnormal ECG adults had at least two abnormal ECG, such as STT changes combined with ventricular premature beats or bundle branch block.

异常心电图较多的有STT改变（7.3%）、窦性心动过速（5.6%）、窦性心律不齐（4.4%）、室性早搏（3.4%）、束支传导阻滞（2.0%）、房性早搏（1.8%）；除预激综合征外，其他异常心电图都是男性多于女性；多数异常心电图的检出率随年龄增加而增加，但窦性心动过速、窦性心律不齐、病窦综合征随年龄增加而减少，窦性心动过缓和预激综合征的检出率与年龄呈&杓形&关系；在异常心电图人群中，有约1/2的人合并2种或2种以上的心电图改变，最常见的是缺血性STT改变合并室性早搏或传导阻滞。

Methods Excitable gap was determined in 25 AVNRT patients by series VS2 or AS2 premature stimuli which started from cycle length -10 ms with decremental distance of -10 ms. Forty-one patients with atrioventricular reentrant tachycardia were selected as controls.

25例AVNRT患者心动过速发作后，分别在右室心尖部和高位右房给予VS2和AS2早搏刺激，从心动过速周长-10ms开始刺激，相隔8个心动过速周期，以-10ms的步长进行递减扫描，测定可激动间隙，并与41例房室折返性心动过速患者比较。

Results Among the 65 fetuses, 12 were found with sinus bradycardia, 8 with sinus tachycardia, 5 with supraventricular tachycardia, 28 with atrial premature beat, 7 with premature ventricular and 5 with atrioventricular block.

结果 诊断65胎心律失常，其中窦性心动过缓12胎，窦性心动过速8胎，室上性心动过速5胎，房性期前收缩28胎，室性期前收缩7胎，房室传导阻滞5胎。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。