[舊圖分享]這張心電圖(ECG)來自一個60多歲,嚴重嘔吐的女士。這張心電圖有甚麼特別? (答案在下面)
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這張ECG有U wave,是一個嚴重低血鉀(Hypokalemia)的徵象。鉀是身體重要的電解質,負責控制心臟跳動,一般人的血鉀含量是3.5-5mmol/L。低血鉀的病人會出現肌肉無力及心律不正等症狀。低血鉀的病人會在ECG中顯示U wave (T wave之後多出的一個波),更嚴重的病人甚至會有flattened T wave、wide PR、prolonged QT interval。
這個病人的低血鉀是因為重複嘔吐所致的,其他低血鉀的原因包括吸收不夠、經消化道流失(肚瀉、villous adenoma)、經腎臟流失(lasix、hyperaldosteronism、Cushing's syndrome、tubular defect、hypomagnesemia、metabolic alkalosis)、或鉀從血液中進入了細胞(adrenaline、insulin、beta agonist,或者hereditary periodic paralysis)等。
u wave ecg 在 U wave - Wikipedia 的相關結果
The 'U' wave is a wave on an electrocardiogram (ECG). It comes after the T wave of ventricular repolarization and may not always be observed as a result of ... ... <看更多>
u wave ecg 在 U Wave Abnormalities - ECG Learning Center - An ... 的相關結果
U waves are usually best seen in the right precordial leads especially V2 and V3. The normal U wave is asymmetric with the ascending limb moving more rapidly ... ... <看更多>
u wave ecg 在 U Wave - ECG Library - LITFL.com 的相關結果
The U wave is a small (0.5 mm) deflection immediately following the T wave, usually in the same direction as the T wave. ... <看更多>