Analysis 12 cases of pseudo-ventricular pre-excitation on electrocardiography

Li xingjie; Han yanhua

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Analysis 12 cases of pseudo-ventricular pre-excitation on electrocardiography

更新时间：2025-10-15

- Analysis 12 cases of pseudo-ventricular pre-excitation on electrocardiography
- Issue 2, Pages: 102-109(2022)
- 作者机构：
  
  1. 山东省济宁市第一人民医院
  2. 山东省巨野县人民医院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R540.41;R541.7
- Published：2022
- 稿件说明：
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Li xingjie, Han yanhua. Analysis 12 cases of pseudo-ventricular pre-excitation on electrocardiography[J]. 2022, (2): 102-109.
DOI：

Li xingjie, Han yanhua. Analysis 12 cases of pseudo-ventricular pre-excitation on electrocardiography[J]. 2022, (2): 102-109. DOI：

摘要

目的探讨假性心室预激的常见原因、心电图特点及与心室预激的鉴别诊断。方法选择12例假性心室预激进行分析探讨。结果假性心室预激可见于：(1)室性激动；(2)室性融合波；(3)短PR+室内阻滞；(4)房间阻滞；(5)不完全性左束支阻滞；(6)某些临床心脏疾病；(7)原因不明等多种情况。充分有效地利用常规心电图及Holter中的心电信息多可识别假性心室预激，必要时须进行心内电生理检查。结论 (1)假性心室预激可见于多种情况；(2)充分有效地利用常规心电图及Holter中的心电信息多可对假性心室预激进行鉴别；(3)需增强对假性心室预激的鉴别意识，以防误诊。

Abstract

Objective To investigate the common causes

electrocardiography（ECG） characteristics and differential diagnosis of pseudo-ventricular pre-excitation. Methods The ECG and clinical characteristics of 12 cases of pseudo-ventricular pre-excitation were analyzed and discussed. Results Pseudo-ventricular pre-excitation could be observed in the following situations:（1）Ventricular excitation;（2）Ventricular fusion wave;（3）Short PR interval and interventricular block;（4）Interatrial block;（5）Incomplete left bundle branch block;（6）Some clinical heart disease;（7）Unknown reasons

etc. Pseudo-ventricular pre-excitation can be identified by using conventional electrocardiogram and Holter

and in some patients

intracardiac electrophysiological test is necessary. Conclusions（1）Pseudo-ventricular pre-excitation can be seen in many cardiac diseases;（2） Regular ECG and Holter are useful to identify pseudo-ventricular pre-excitation;（3） We should pay attention to the existence of pseudo-ventricular pre-excitation in our clinical practice to prevent the potential misdiagnosis.

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references

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An irregular rhythm in a patient with ventricular preexcitation: what is the mechanism?[J]. Arias Miguel A;Pachón Marta;Akerstr?m Finn;Jiménez-López Jesús.Journal of cardiovascular electrophysiology,2014(2)

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Pseudo Pre-excitation with Concertina Effect in Idioventricular Tachycardia[J]. Oreto Giuseppe;Donato Antonino;Carerj Scipione.Chest,1991(2)

INCOMPLETE LEFT BUNDLE-BRANCH BLOCK.[J]. SCHAMROTH L;BRADLOW B A.British heart journal,1964

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