多源性房性心动过速

【最新】房性期前收缩目录概述疾病名称英文名称别名分类ICD号流行病学病因器质性心脏病药物及电解质神经异常状态内分泌疾病正常健康心脏发病机制心房组织自律性异常增高心房内折返激动触发激动房性期前收缩的临床表现房性期前收缩的并发症检查典型房性期前收缩心电图特点对房性期前收缩典型心电图特点的描述房性期前收缩的特殊类型多源性房性期前收缩房性期前收缩呈联律房性期前收缩连发间位性房性期前收缩房性期前收缩未下传房性期前收缩伴室内差异性传导隐匿性房性期前收缩主要有以下一些类型预激性房性期前收缩房性期前收缩发生在束支阻滞时的特点（10）房性期前收缩诱发房性心动过速、心房扑动、心房颤动（11）房性期前收缩诱发室性心动过速、诱发尖端扭转型室性心动过速（12）房性期前收缩心房回波搏动（13）房性期前收缩揭示增率性右束支阻滞（14）房性期前收缩后可引起房内差异性传导（15）未下传房性期前收缩所致变异型“快-慢综合征”（16）肌袖性房性期前收缩诊断鉴别诊断房性期前收缩与房室交接区性期前收缩的鉴别未下传房性期前收缩二联律与2∶1房室传导阻滞的鉴别房性期前收缩伴室内差异性传导与室性期前收缩的鉴别房性期前收缩与窦性期前收缩的鉴别房性期前收缩二联律与二度Ⅰ型窦房阻滞呈3∶2传导鉴别房性期前收缩未下传与窦性停搏的鉴别房性期前收缩的治疗β受体阻滞药钙离子拮抗药普罗帕酮（心律平）莫雷西嗪（乙吗噻嗪）胺碘酮苯妥英钠洋地黄预后房性期前收缩的预防相关药品概述房性期前收缩即房性过早搏动（atrial premature beats，APB），又称房性早搏、房早。

它是起源于心房异位提前的心脏搏动，非常普遍。

主要表现为心悸、心脏“停跳”感，期前收缩次数过多时自觉“心跳很乱”，可有胸闷、心前区不适、头昏、乏力、摸脉有间歇等。

也有无症状者。

房性期前收缩如发生在健康人或无明显其他症状的人群，一般不需要特殊治疗。

有些有特定病因者应积极治疗病因；对器质性心脏病患者，其治疗应同时针对心脏病本身；对风湿活动者进行抗风湿治疗，对心力衰竭患者也应进行相应的治疗。

胸闷( chest distress )高血压肾病hypertensive nephropathy hypertensive renal disease心力衰竭：Heart failure 心力衰竭Congestive beart failure 充血性心力衰竭Acute left-sided heart failure 急性左心衰竭Chroinc heart failure 慢性心力衰竭Intractable heart failure 难治性心力衰竭Systolic insufficiency heart failure 收缩功能不全性心力衰竭Diastolic insufficiency heart failure 舒张功能不全性心力衰竭Congestive heart failure 充血性心力衰竭Cardiac dysfunction 心功能障碍心律失常：Arrhythmia ( cardiac arrhythmia )心律失常Triggered activity 触发活动Afterdepolarization 后除极a. 窦房结Sinus node recovery time SNRT 窦房结恢复时间Sinoatrial conduction time SACT 窦房传导时间Bradycardia 心动过缓Tachycardia 心动过速Sinus tachycardia 窦性心动过速Sinus bradycardia 窦性心动过缓Sinus pause （sinus arrest）窦性停搏（窦性静止）sinoatrial block 窦房阻滞（Mobitz 莫氏, Wenckebach 文氏）Sick sinus syndrome（SSS）病（态）窦（房结）综合征Bradycardia-tachycardia syndrome 心动过缓-心动过速综合征b. 心房Atrial premature beats 房性期前收缩Atrial tachycardia 房性心动过速Intrinsic heart rate 固有心率Automatic atrial tachycardia 自律性房性心动过速Reentrant atrial tachycardia 折返性房性心动过速Chaotic atrial tachycardia 紊乱性房性心动过速Paroxysmal atrial tachycardia with A V block （PAT with block）伴有房室阻滞的阵发性房性心动过速Multifocal atrial tachycardia 多源性房性心动过速Atrial flutter 心房扑动Atrial fibrillation 心房颤动c. 房室交界区性Premature atrioventricular junctional beats 房室交界区性期前收缩AV junctional escape beats 房室交界区性逸搏AV junctional rhythm 房室交界区性心律Nonparoxysmal atrioventricular junctional tachycardia 非阵发性房室交界区性心动过速Paroxysmal supraventricular tachycardia(PSVT) 阵发性室上性心动过速Atrioventricular Nodal Reentrant Tachycardia(A VNRT) 房室结内折返性心动过速Atrioventricular Reentrant Tachycardia(A VNRT) 房室返性心动过速Preexcitation syndrome(Wolff-Parkinson-White syndrome) 预激综合征( WPW 综合征)d. 心室Premature ventricular beats 室性期前收缩Ventricular parasystole 室性并行心律Ventricular tachycardia 室性心动过速Accelerated idioventricular rhythm 加速性心室自主节律Torsades de pointes 尖端扭转Ventricular flutter 心室扑动Ventricular fibrillation 心室颤动Atrioventricular block 房室传导阻滞Wenckebach block 文氏阻滞Adame-Strokes syndrom 阿－斯综合征Intraventricular block 室内传导阻滞Right bundle branch block 右束支传导阻滞Left bundle branch block 左束支传导阻滞Left anterior fascicular block 左前分支传导阻滞Left posterior fascicular block 左后分支传导阻滞Bifascicular block 双分支阻滞Trifascicular block 三分支阻滞心脏骤停与猝死sudden cardiac death 心脏性猝死Cardiac arrest 心脏骤停Pulseless electrical activity (PEA) 无脉性电活动高血压：Hypertension 高血压Hypertensive urgencyes 高血压急症Hypertensive crisis 高血压危象Hypertensive emergencies 高血压危症Secondary hypertension 继发性高血压Primary hypertension 原发性高血压“ White coat ” hyperte nsiO大衣性高血压4Isolated systolic hypertension 单纯收缩期高血压Arteriolosclerosis 小动脉硬化先心病：Congenital heart disease 先天性心脏病Congenital cardiovascular disease 先天性心血管病Pulmonic stenosis 肺动脉狭窄Isolated pulmonic stenosis 单纯肺动脉口狭窄Coarctation of the aorta 主动脉缩窄Idiopathic dilatation of the pulmonary artery 单纯肺动脉扩张Primary pulmonary hypertension 原发性肺动脉高压Persistent left superior vena cava 双侧上腔静脉(左上腔静脉残存) Isolated dextrocardia 孤立性右位心Atrial septal defect 房间隔缺损Partial anomalous pulmonary venous drainage 部分性肺静脉畸形引流Ventricular septal defect (VSD) 室间隔缺损Eisenmenger ' s syndrom艾森门格综合征Patent ductus arteriosus(PDA) 动脉导管未闭Tetralogy of Fallot 法洛四联症Trilogy of Fallot 法洛三联症Complete transposition of the great vessels 完全性大血管错位Atrial septal defect (ASD) 房间隔缺损心脏瓣膜病：Multivalve heart disease 多瓣膜疾病5Mitral valve disease 二尖瓣疾病Pulmonic valve disease 肺动脉瓣疾病Tricuspid valve disease 三尖瓣疾病Ebstei n' s anomaly三尖瓣下移畸形Dysfunction or rupture of papillary muscle 乳头肌功能失调或断裂Aortic valve disease 主动脉瓣疾病Aortic arch syndrome 主动脉弓综合征Valvular heart disease 心脏瓣膜病rheumatic heart disease 风湿性心脏病Rheumatic fever 风湿热Rheumatic carditis 风湿性心脏炎Mitral stenosis 二尖瓣狭窄Mitral incompetence 二尖瓣关闭不全Acute mitral insufficiency 急性二尖瓣关闭不全Chronic mitral insufficiency 慢性二尖瓣关闭不全Marfan ' s syndrom马凡氏综合征Aortic stenosis 主动脉瓣狭窄Aortic incompetence 主动脉瓣关闭不全Chronic aortic insufficiency 慢性主动脉瓣关闭不全Tricuspid stenosis 三尖瓣狭窄Tricuspid incompetence 三尖瓣关闭不全Pulmonary stenosis 肺动脉瓣狭窄Pulmonary incompetence 肺动脉瓣关闭不全冠心病：Atherosclerosis 动脉粥样硬化Coronary atherosclerotic heart disease 冠状动脉粥样硬化性心脏病Coronary heart disease 冠状动脉性心脏病Angina pectoris 心绞痛Stable angina pectoris 稳定型心绞痛Unstable angina pectoris 不稳定心绞痛Initial onset angina pectoris 初发型心绞痛Accelerated angina pectoris 恶化型心绞痛Variant angina pectoris (Prinzmetal ' s variant angina 变e异型i 心绞痛Angina decubitus 卧位心绞痛Acute coronary insufficiency 急性冠状动脉功能不全Postinfarction angina pectoris 梗塞后心绞痛Acute coronary syndrome(ACS) 急性冠脉综合征Myocardial infarction(MI) 心肌梗死Acute myocardial infarction(AMI) 急性心肌梗死Dysfunction of papillary muscle 乳头肌功能失调Rupture of papillary muscle 乳头肌断裂Rupture of the heart 心脏破裂Embolism 栓塞Cardiac aneurysm 心脏室壁瘤Postinfarction syndrome 心肌梗死后综合征Latent coronary heart disease 无症状型冠心病(隐性冠心病)Ischemic cardiomyopathy 缺血性心肌病Sudden death 猝死感染性心内膜炎：Infective endocarditis (IE) 感染性心内膜炎Native valve endocarditis 自体瓣膜心内膜炎Prothetic valve endocarditis 人工瓣膜心内膜炎Endocarditis in intravenous drug abusers 静脉药瘾者心内膜炎Acute infective endocarditics(AIE) 急性感染性心内膜炎Subacute Infective endocarditis 亚急性感染性心内膜炎心肌疾病：Specific cardiomyopathy 特异性心肌病Viral myocarditis 病毒性心肌炎Hypertrophic cardiomyopathy ( HCM )肥厚性心肌病Asymmetric septal hypertrophy (ASH) 非对称性室间隔肥厚Restrictive cardiomyopathy(RCM) 限制性心肌病Dilated cardiomyopathy ( DCM )扩张型心肌病Alcoholic cardiomyopathy 酒精性心肌病Peripartum cardiomyopathy 围生期心肌病Drug-induced cardiomyopathy 药物性心肌病Keshan disease (KD) 克山病Endemic cardiomyopathy (ECD) 地方性心肌病Cardiomyopathies 心肌疾病Myocardial bridging 心肌桥Myocarditis 心肌炎Right ventricular cardiomyopathy 右室心肌病Arrhythmogenic right ventricular cardiomyopathy(ARVC) 致心律失常型右室心肌病Unclassified cardiomyopathies,UCM)心包疾病：Purulent pericarditis 化脓性心包炎Acute pericarditis 急性心包炎Tuberculous pericarditis 结核性心包炎Constrictive pericarditis 缩窄性心包炎血管疾病：Peripheral arteriosclerosis obliteration 闭塞性周围动脉粥样硬化Primary arteritis of the aorta and its main branches 多发性大动脉炎Raynaud syndrome 雷诺综合征Pulness disease 无脉病Thromboangitis obliterans 血栓闭塞性脉管炎Thrombophlebitis 血栓性静脉炎Aortic dissection 主动脉夹层其它疾病：Syndrome XCardiogenic shock 心原性休克Postpericardiostomy syndrome 心肌损伤后综合征Pulmonary embolism 肺动脉栓塞Syncope 晕厥Syphlitic cardiovascular disease 梅毒性心血管病Cardiovascular neurosis 心脏血管神经官能症药物Vasodilator 血管扩张剂（phlebectasis 静脉扩张，arteriectasis 动脉扩张）Diuretic 利尿剂（thiazide diuretic 噻嗪类利尿剂；loop diuretic 袢利尿剂；potassium-sparing diuretics 保钾利尿剂）inotropic agent 正性肌力药（digitalis preparation 洋地黄制剂；adrenergic receptor stimulant 肾上腺素能受体兴奋剂；phosphodiesterase inhibitor 磷酸二酯酶抑制剂）Angiotensin converting enzyme inhibitor （ACE inhibitors ）（ACEI ）血管紧张素转换酶抑制剂Aldosterone antagonist 醛固酮拮抗剂Beta adrenergic receptor blocker （beta blockers ）? 肾上腺素能受体阻滞剂Calcium channel blocker （CCB ）钙通道阻滞剂Angiotension n antagonist（Angiotension n receptor blocker）血管紧张素U受体阻滞剂Alpha blockers 受体阻滞剂Nitroglycerin 硝酸甘油Digoxin 地高辛Lanatoside C 西地兰10antiarrhythic drugs 抗心律失常药lidocaine 利多卡因Propafenone 普罗帕酮Amiodarone 胺碘酮调脂药降脂药HMG-CoA reductase inhibitors HMG-CoA 还原酶抑制剂Nicotinic acid 烟酸Clofibrate 氯贝丁酯抗血小板药物溶栓药recombinant tissue type plasminogen activator ,rt-PA 重组组织型纤维蛋白酶原激活剂抗凝药操作interventional therapy for cardiovascular diseases 心血管病介入性治疗Holter ECG monitoring 动态心电图Ultrasound angioplasty 超声消融术Directional coronary atherectomy 定向旋切术High frequency rotational atherectomy 高频旋磨术Laser angioplasty 激光血管成形术Catheter ablation 心导管消融Radiofrequency catheter ablation 经导管射频消融Percutaneous balloon mitral valvuloplasty(PBMV) 经皮穿刺球囊二尖瓣成形术Percutaneous balloon pulmonic valvuloplasty(PBPV) 经皮穿刺球囊肺动脉瓣成形术Percutaneous transluminal septial myocardial ablation,(PTSMA) 经皮经腔间隔心肌消融术11Percutaneous transluminal coronary angioplasty (PTCA) 经皮穿刺腔内冠状动脉成形术Percutaneous intracoronary stent implantation 经皮穿刺冠状动脉内支架安置术Transluminal Extraction catheter (TEC) 经皮血管内切吸导管Artificial cardiac pacing 人工心脏起搏Multisite cardiac pacing 多部位心脏起搏Biatrial pacing 双心房起搏biventricular pacing 双心室起搏bifocal pacing 双灶起搏Heart transplantation 心脏移植Angiojet rheolytic thrombectomy 新鲜血栓吸引术Upright tilt-table testing 直立倾斜试验Implantable cardioverter defibrillator (ICD) 置入型心律转复除颤器Thumpversion 捶击复律Cough-version 咳嗽复律Cardioversion 心脏电复律Defibrillation 心脏电除颤Revascularization 血管重建其它Hemolytic streptococcus 甲族乙型溶血性链球菌Antithymocyte globulin (ATG) 抗胸腺细胞球蛋白Vagus nerve 迷走神经,Brainstem death 脑干死亡12Brain death 脑死亡Myocardial remodeling 心肌重塑Hemodynamics 血液动力学Atrial natriuretic factor (ANF) 心钠素Vasopressin 血管加压素,抗利尿激素Bradykinin 缓激肽Triggered activity 触发活动Afterdepolarization 后除极Late ventricular potential 心室晚电位Sinus node recovery time(SNRT) 窦房结恢复时间Sinoatrial conduction time(SACT) 窦房传导时间Intrinsic heart rate 固有心率Accessory atrioventricular pathways 房室旁路Atriohisian tracts 房希氏束Nodoventricular fibers 结-室纤维Fasciculoventricular fibers 分支室纤维Insulin resistance 胰岛素抵抗Vasodepressor response 血管减压反应Pulsus tardus 细迟脉Minimum Inhibitory concentration (MIC) 最小抑菌浓度Systolic anterior motion(SAM) (二尖瓣前叶)收缩期前向运动Intermittent claudication 间歇性跛行。

根据<内科学>整理的心血管系统专业术语心力衰竭：Congestive beart failure 充血性心力衰竭Systolic insufficiency heart failure 收缩功能不全性心力衰竭Diastolic insufficiency heart failure 舒张功能不全性心力衰竭Congestive heart failure 充血性心力衰竭心律失常Triggered activity 触发活动 Afterdepolarization 后除极a.窦房结Sinus node recovery time SNRT 窦房结恢复时间Sinoatrial conduction time SACT 窦房传导时间Bradycardia 心动过缓;Tachycardia 心动过速Sinus tachycardia 窦性心动过速;Sinus bradycardia 窦性心动过缓Sinus pause (sinus arrest) 窦性停搏（窦性静止）sinoatrial block 窦房阻滞（Mobitz 莫氏, Wenckebach 文氏）Bradycardia-tachycardia syndrome 心动过缓-心动过速综合征b.心房Atrial premature beats 房性期前收缩;Atrial tachycardia 房性心动过速Intrinsic heart rate 固有心率;Automatic atrial tachycardia 自律性房性心动过速Reentrant atrial tachycardia 折返性房性心动过速Chaotic atrial tachycardia 紊乱性房性心动过速Paroxysmal atrial tachycardia with AV block (PAT with block) 伴有房室阻滞的阵发性房性心动过速;Multifocal atrial tachycardia 多源性房性心动过速;Atrial flutter 心房扑动;Atrial fibrillation 心房颤动c.房室交界区性Premature atrioventricular junctional beats 房室交界区性期前收缩AV junctional escape beats 房室交界区性逸搏AV junctional rhythm 房室交界区性心律Nonparoxysmal atrioventricular junctional tachycardia 非阵发性房室交界区性心动过速Paroxysmal supraventricular tachycardia(PSVT)阵发性室上性心动过速Atrioventricular Nodal Reentrant Tachycardia(AVNRT)房室结内折返性心动过速Atrioventricular Reentrant Tachycardia(AVNRT)房室返性心动过速Preexcitation syndrome(Wolff-Parkinson-White syndrome) 预激综合征（WPW综合征）d.心室Premature ventricular beats 室性期前收缩Ventricular parasystole 室性并行心律;Ventricular tachycardia 室性心动过速Accelerated idioventricular rhythm 加速性心室自主节律Torsades de pointes 尖端扭转;Ventricular flutter 心室扑动Ventricular fibrillation 心室颤动;Atrioventricular block 房室传导阻滞Wenckebach block 文氏阻滞;Adame-Strokes syndrom 阿－斯综合征Intraventricular block 室内传导阻滞;Right bundle branch block 右束支传导阻滞Left bundle branch block 左束支传导阻滞Left anterior fascicular block 左前分支传导阻滞Left posterior fascicular block 左后分支传导阻滞Bifascicular block 双分支阻滞;Trifascicular block 三分支阻滞心脏骤停与猝死 Pulseless electrical activity (PEA) 无脉性电活动高血压：Isolated systolic hypertension 单纯收缩期高血压;Arteriolosclerosis 小动脉硬化先心病：Pulmonic stenosis 肺动脉狭窄;Isolated pulmonic stenosis 单纯肺动脉口狭窄Coarctation of the aorta 主动脉缩窄Idiopathic dilatation of the pulmonary artery 单纯肺动脉扩张Primary pulmonary hypertension 原发性肺动脉高压Persistent left superior vena cava 双侧上腔静脉（左上腔静脉残存）Isolated dextrocardia 孤立性右位心;Atrial septal defect 房间隔缺损Partial anomalous pulmonary venous drainage 部分性肺静脉畸形引流Patent ductus arteriosus(PDA)动脉导管未闭Complete transposition of the great vessels 完全性大血管错位Atrial septal defect (ASD) 房间隔缺损心脏瓣膜病：Multivalve heart disease 多瓣膜疾病;Mitral valve disease 二尖瓣疾病Pulmonic valve disease 肺动脉瓣疾病;Tricuspid valve disease 三尖瓣疾病Ebstein’s anomaly 三尖瓣下移畸形Dysfunction or rupture of papillary muscle 乳头肌功能失调或断裂Aortic valve disease 主动脉瓣疾病;Aortic arch syndrome 主动脉弓综合征Valvular heart disease 心脏瓣膜病;rheumatic heart disease 风湿性心脏病Rheumatic fever 风湿热;Rheumatic carditis 风湿性心脏炎Mitral stenosis 二尖瓣狭窄;Mitral incompetence 二尖瓣关闭不全Acute mitral insufficiency 急性二尖瓣关闭不全Chronic mitral insufficiency 慢性二尖瓣关闭不全Marfan’s syndrom 马凡氏综合征;Aortic stenosis 主动脉瓣狭窄Aortic incompetence 主动脉瓣关闭不全;Chronic aortic insufficiency 慢性主动脉瓣关闭不全Tricuspid stenosis 三尖瓣狭窄;Tricuspid incompetence 三尖瓣关闭不全Pulmonary stenosis 肺动脉瓣狭窄;Pulmonary incompetence 肺动脉瓣关闭不全冠心病：Atherosclerosis 动脉粥样硬化Coronary atherosclerotic heart disease 冠状动脉粥样硬化性心脏病Coronary heart disease 冠状动脉性心脏病;Angina pectoris 心绞痛Stable angina pectoris 稳定型心绞痛;Unstable angina pectoris 不稳定心绞痛Initial onset angina pectoris 初发型心绞痛;Accelerated angina pectoris 恶化型心绞痛Variant angina pectoris (Prinzmetal’s variant angina pectoris)变异型心绞痛Angina decubitus 卧位心绞痛;Acute coronary insufficiency 急性冠状动脉功能不全Postinfarction angina pectoris 梗塞后心绞痛;Acute coronary syndrome(ACS) 急性冠脉综合征Myocardial infarction(MI) 心肌梗死;Acute myocardial infarction(AMI) 急性心肌梗死Dysfunction of papillary muscle 乳头肌功能失调;Rupture of papillary muscle 乳头肌断裂Rupture of the heart 心脏破裂;Embolism 栓塞;Cardiac aneurysm 心脏室壁瘤Postinfarction syndrome 心肌梗死后综合征Latent coronary heart disease 无症状型冠心病（隐性冠心病）Ischemic cardiomyopathy 缺血性心肌病;Sudden death 猝死感染性心内膜炎：Infective endocarditis (IE) 感染性心内膜炎;Native valve endocarditis 自体瓣膜心内膜炎Prothetic valve endocarditis 人工瓣膜心内膜炎Endocarditis in intravenous drug abusers 静脉药瘾者心内膜炎Acute infective endocarditics(AIE) 急性感染性心内膜炎Subacute Infective endocarditis 亚急性感染性心内膜炎心肌疾病：Specific cardiomyopathy 特异性心肌病;Viral myocarditis 病毒性心肌炎Hypertrophic cardiomyopathy（HCM）肥厚性心肌病Asymmetric septal hypertrophy (ASH) 非对称性室间隔肥厚Restrictive cardiomyopathy(RCM)限制性心肌病;Dilated cardiomyopathy（DCM）扩张型心肌病Alcoholic cardiomyopathy 酒精性心肌病;Peripartum cardiomyopathy 围生期心肌病Drug-induced cardiomyopathy 药物性心肌病;Keshan disease (KD) 克山病Endemic cardiomyopathy (ECD) 地方性心肌病;Cardiomyopathies 心肌疾病Myocardial bridging 心肌桥;Myocarditis 心肌炎;Right ventricular cardiomyopathy 右室心肌病Arrhythmogenic right ventricular cardiomyopathy(ARVC)致心律失常型右室心肌病心包疾病：Purulent pericarditis 化脓性心包炎;Acute pericarditis 急性心包炎Tuberculous pericarditis 结核性心包炎Constrictive pericarditis 缩窄性心包炎血管疾病：Peripheral arteriosclerosis obliteration 闭塞性周围动脉粥样硬化Primary arteritis of the aorta and its main branches 多发性大动脉炎Raynaud syndrome 雷诺综合征;Pulness disease 无脉病Thromboangitis obliterans 血栓闭塞性脉管炎;Thrombophlebitis 血栓性静脉炎Aortic dissection 主动脉夹层其它疾病：Postpericardiostomy syndrome 心肌损伤后综合征Pulmonary embolism 肺动脉栓塞;Syncope 晕厥;Syphlitic cardiovascular disease 梅毒性心血管病Cardiovascular neurosis 心脏血管神经官能症药物Vasodilator 血管扩张剂（phlebectasis 静脉扩张， arteriectasis 动脉扩张）Diuretic 利尿剂（thiazide diuretic 噻嗪类利尿剂；loop diuretic 袢利尿剂；potassium-sparing diuretics 保钾利尿剂）inotropic agent 正性肌力药（digitalis preparation 洋地黄制剂；adrenergic receptor stimulant 肾上腺素能受体兴奋剂；phosphodiesterase inhibitor 磷酸二酯酶抑制剂）Angiotensin converting enzyme inhibitor（ACE inhibitors）（ACEI）血管紧张素转换酶抑制剂Aldosterone antagonist 醛固酮拮抗剂Beta adrenergic receptor blocker （beta blockers）ß肾上腺素能受体阻滞剂Calcium channel blocker（CCB）钙通道阻滞剂Angiotension Ⅱ antagonist(Angiotension Ⅱ receptor blocker) 血管紧张素Ⅱ受体阻滞剂Alpha blockers α1 受体阻滞剂Nitroglycerin 硝酸甘油 Digoxin 地高辛 Lanatoside C 西地兰antiarrhythic drugs 抗心律失常药 Lidocaine 利多卡因 Propafenone 普罗帕酮Amiodarone 胺碘酮调脂药降脂药:HMG-CoA reductase inhibitors HMG-CoA 还原酶抑制剂Nicotinic acid 烟酸 Clofibrate 氯贝丁酯抗血小板药物溶栓药:recombinant tissue type plasminogen activator ,rt-PA 重组组织型纤维蛋白酶原激活剂操作interventional therapy for cardiovascular diseases 心血管病介入性治疗Holter ECG monitoring 动态心电图 Ultrasound angioplasty 超声消融术Directional coronary atherectomy 定向旋切术High frequency rotational atherectomy 高频旋磨术Laser angioplasty 激光血管成形术 Catheter ablation 心导管消融Radiofrequency catheter ablation 经导管射频消融Percutaneous balloon mitral valvuloplasty(PBMV)经皮穿刺球囊二尖瓣成形术Percutaneous balloon pulmonic valvuloplasty(PBPV)经皮穿刺球囊肺动脉瓣成形术Percutaneous transluminal septial myocardial ablation,(PTSMA)经皮经腔间隔心肌消融术Percutaneous transluminal coronary angioplasty (PTCA) 经皮穿刺腔内冠状动脉成形术Percutaneous intracoronary stent implantation 经皮穿刺冠状动脉内支架安置术Transluminal Extraction catheter (TEC)经皮血管内切吸导管Biatrial pacing 双心房起搏 biventricular pacing 双心室起搏 bifocal pacing 双灶起搏Angiojet rheolytic thrombectomy 新鲜血栓吸引术 Upright tilt-table testing 直立倾斜试验Implantable cardioverter defibrillator (ICD)置入型心律转复除颤器Thumpversion 捶击复律 Cough-version 咳嗽复律 Cardioversion 心脏电复律Defibrillation 心脏电除颤 Revascularization 血管重建其它Hemolytic streptococcus 甲族乙型溶血性链球菌Antithymocyte globulin (ATG)抗胸腺细胞球蛋白Vagus nerve 迷走神经 Brainstem death 脑干死亡 Myocardial remodeling 心肌重塑Hemodynamics 血液动力学 Atrial natriuretic factor (ANF)心钠素Vasopressin 血管加压素,抗利尿激素 Bradykinin 缓激肽Triggered activity 触发活动 Afterdepolarization 后除极Late ventricular potential 心室晚电位Sinus node recovery time(SNRT) 窦房结恢复时间Sinoatrial conduction time(SACT) 窦房传导时间Intrinsic heart rate 固有心率 Accessory atrioventricular pathways 房室旁路Atriohisian tracts 房希氏束 Nodoventricular fibers 结-室纤维Fasciculoventricular fibers 分支室纤维 Insulin resistance 胰岛素抵抗Vasodepressor response 血管减压反应 Pulsus tardus 细迟脉Minimum Inhibitory concentration (MIC) 最小抑菌浓度Systolic anterior motion(SAM) （二尖瓣前叶）收缩期前向运动Intermittent claudication 间歇性跛行。

阵发性室上性心动过速真题精选[单项选择题]1、关于房室结折返性心动过速的表述，正确的是（）。

A.快慢型约占90%B.心房和心室是折返环的重要组成部分C.房室结内或房室结周围存在双径路是形成折返的基础D.通常快径路的不应期较短，慢径路的不应期较长E.最早的逆传心房激动点位于冠状静脉窦远端参考答案：C参考解析：房室结折返性心动过速的类型以慢快型最常见，快慢型和慢慢型较少见。

通常快径路传导较快，不应期较长，慢径路传导较慢，不应期较短。

心动过速时折返环为快、慢径路之间的折返。

心内电生理检查可见逆传心房激动顺序呈向心性，最早的心房激动点位于希氏束电极部位。

[单项选择题]2、关于顺向型房室折返性心动过速的描述，不正确的是（）。

A.心动过速可被期前收缩诱发或终止B.节律规整，心率常为150～250次／分C.QRS波群时限正常或伴有功能性束支阻滞D.逆传P′波位于QRS波群之后E.RP′间期<70ms参考答案：E参考解析：顺向型房室折返性心动过速发生在房室间存在旁路的患者，当一个适时的房性期前收缩出现后，旁路处于不应期，激动沿正常房室结下传至心室，心室激动后又经旁路逆传至心房，如此持续发生便形成顺向型房室折返性心动过速。

其折返环路径为：心房→房室结→心室→旁路→心房。

其心电图特征为：心动过速可被期前收缩诱发或终止；心率常为150～250次／分，节律规整；QRS波群形态一般与窦性下传者相同，亦可伴有功能性束支阻滞；逆传P′波位于QRS波群之后，RP′间期>70ms。

[单项选择题]3、患者男性，23岁，因心动过速行食管电生理检查，心动过速时的心电图如（图中E．SO为食管心电图）所示，该心动过速的类型是（）。

B.房室结折返性心动过速C.房性心动过速D.房室折返性心动过速E.交界性心动过速参考答案：B参考解析：该心动过速发作时的心电图特征为：QRS波群正常，心室率约210导联可见部分心搏出现终末r波，其终末r波实际上为逆传P′波次／分，V1落在QRS波群终末部所致，食管导联清晰可见逆传P′波，部分呈2：1逆传阻导联RP’间期相同，RP′间期<70ms，为慢快型房滞，食管导联RP′间期与V1室结折返性心动过速，呈2：1逆传阻滞。