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临床资料及心电图分析患者女性,54岁,因心肌炎后遗症,冠心病可疑,双侧束支不同程度阻滞致高度房室传导阻滞,反复发作阿-斯综合征,安装“秦明9051ⅤⅥ”起搏器。附图是患者出院三个月时随访记录。自身心律为窦性,心室夺获时P-R正常,QRS呈完全性右束支阻滞(CRBBB)型(Ⅰ导联R_(3～6),Ⅱ导联R_(4～6)Ⅲ导联R_6和V_1导联R_(9,10));完全性心室起搏的QRS呈完全性左束支阻滞(CLBBB)型伴电轴左偏(Ⅰ导联的R_(1,2,9,10),Ⅱ导联R_(1～3,10),Ⅲ导联R_(1～5,9,10)和V_1导联R_(1～6));不完全性心室起搏(起搏
Clinical data and electrocardiographic analysis of female patients, 54 years old, due to myocarditis sequelae, coronary heart disease suspicious of varying degrees of bilateral bundle branch block caused by a high degree of atrioventricular block, recurrent Alzheimer’s syndrome, the installation of “Qin Ming 9051 Ⅴ” since Pacemaker. The figure is the patient was discharged at three months follow-up record. Her heart rhythm was sinus, PR was normal during ventricular seizure, QRS was complete with right bundle branch block (CRBBB) type (Ⅰ ~ R_ (3 ~ 6), Ⅱ lead R_ (4 ~ 6) Ⅲ lead R_6 And V_1 lead R_ (9,10)). The QRS of complete ventricular pacing showed complete left bundle branch block (CLBBB) with left axis deviation (R_ (1, 2, 9, ), Ⅱ lead R_ (1 ~ 3,10), Ⅲ lead R_ (1 ~ 5,9,10) and V_1 lead R_ (1-6)); incomplete ventricular pacing