The patient's ECG shows a ______ complex, where the QRS dura… | 마이메르시 MyMerci
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Diseases of the circulatory system
문제

The patient's ECG shows a ______ complex, where the QRS duration is more than 120 milliseconds with a distinctive M-shaped pattern.

해설
A fragmented QRS complex with duration >120ms and M-shaped pattern is often seen in bundle branch blocks or ventricular conduction delays. This fragmentation represents disturbed ventricular activation due to scarring or conduction system disease.
같은 주제 다음 문제The patient's EKG shows significant ST ______ in leads V2 through V4, suggesting acute ant…

임상 시나리오

ECG QRS Complex Characteristics:
- Normal QRS duration: 60-100ms
- Fragmented QRS: Multiple notches in QRS complex
- Causes of fragmented QRS:
* Myocardial scarring
* Bundle branch blocks
* Ventricular conduction delays
* Cardiomyopathy
- M-shaped pattern indicates:
* Conduction system disease
* Ventricular activation disturbance
- Clinical significance:
* Marker of myocardial fibrosis
* Predictor of cardiac events
* Associated with arrhythmias
- Assessment criteria:
* QRS duration >120ms
* Presence of notching
* RSR' pattern
* Multiple R waves

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