μ’Œμ „μ„¬μœ μ†μ°¨λ‹¨ vs μ’Œν›„μ„¬μœ μ†μ°¨λ‹¨ / Left anterior fascicular block vs left posterior fascicular block

μ •μ˜

LAFB와 LPFBλŠ” μ’Œμ‹¬μ‹€ fascicle 전도 이상을 μœ„μΉ˜μ™€ axis λ³€ν™”λ‘œ κ΅¬λΆ„ν•˜λŠ” ECG κ°œλ…μ΄λ‹€.

μž„μƒ 핡심

Raw μžλ£Œμ—μ„œλŠ” fascicular VT의 ECG 해석 λ§₯λ½μ—μ„œ LAFB와 LPFBλ₯Ό λΉ„κ΅ν•œλ‹€. ꡬ뢄 ν¬μΈνŠΈλŠ” lead III의 QRS λ°©ν–₯이닀. LAFBλŠ” μ›λž˜ λͺ¨μ–‘λŒ€λ‘œ QRS negative, LPFBλŠ” μ›λž˜ λͺ¨μ–‘κ³Ό λ°˜λŒ€λ‘œ QRS positive둜 μ •λ¦¬λœλ‹€.

진단

μΆ• LAFB LPFB
병변 μœ„μΉ˜ μ’Œμ‹¬μ‹€ μ•ž/μœ„μͺ½ fascicle μ’Œμ‹¬μ‹€ λ’€/μ•„λž˜μͺ½ fascicle
μ „κΈ° 진행 μ„€λͺ… μ•„λž˜/λ’€μ—μ„œ μ•ž/μœ„λ‘œ λŒμ•„κ° μ•ž/μœ„μ—μ„œ μ•„λž˜/λ’€λ‘œ λŒμ•„κ°
Axis left axis deviation right axis deviation
Lead III QRS negative QRS positive

치료

이 νŽ˜μ΄μ§€λŠ” ECG ꡬ뢄 κ°œλ…μ΄λ©° 별도 μΉ˜λ£ŒλŠ” raw μžλ£Œμ— μ œμ‹œλ˜μ§€ μ•Šμ•˜λ‹€. Fascicular VT λ§₯λ½μ—μ„œλŠ” verapamil, CCB, beta blockerκ°€ μ–ΈκΈ‰λœλ‹€.

좜처

raw notion page: VT, Vfib

🌱 좜처 raw

λ³Έ λ¬Έμ„œλŠ” ν•™μŠ΅Β·μ°Έκ³ μš©μ΄λ©° μ‹€μ œ μ§„λ£Œ 결정은 μž„μƒμ˜μ˜ νŒλ‹¨μž…λ‹ˆλ‹€.