CAJ | 학술논문

目的：探讨双侧束支主干阻滞心电图表现形式与临床的相关性。方法分析34例双侧束支主干阻滞表现形式及组合类型,结合病因及临床意义进行分析。结果一度房室传导阻滞( AVB)伴一侧束支完全阻滞17例,不同比例双侧束支主干二度阻滞14例,双侧束支不同比例二度合并高度阻滞3例。均患有严重器质性心脏病,97%见于60岁以上老年患者。结论双侧束支主干阻滞是最严重的一类双束支阻滞。
목적：탐토쌍측속지주간조체심전도표현형식여림상적상관성。방법분석34례쌍측속지주간조체표현형식급조합류형,결합병인급림상의의진행분석。결과일도방실전도조체( AVB)반일측속지완전조체17례,불동비례쌍측속지주간이도조체14례,쌍측속지불동비례이도합병고도조체3례。균환유엄중기질성심장병,97%견우60세이상노년환자。결론쌍측속지주간조체시최엄중적일류쌍속지조체。
Objective Probe the manifestation and clinical relevance of double main bundle branch block. Methods Summarize block forms and combination type of 34 cases with double main bundle branch block. Analyze the etiology and clinical significance. Results Seventeen cases belong to I atrioventricular block ( AVB) with one side completely bundle branch block. Fourteen cases belong to different proportion of double main bundle branch block and 3 cases with different proportion of second merge highly bundle branch block. All cases have severe organic heart disease and 97% in elderly patients over 60. Conclu-sionDouble main bundle branch block is one of the most serious kind of double bundle branch block.