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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.
1
fragmented
✓ 정답
2
widened
3
normal
4
narrow
5
split
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 문제 The 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
핵심 개념
fragmented — broken or split into multiple parts, indicating disrupted electrical conduction in cardiac tissue
widened — increased in width or duration, typically referring to extended QRS complex duration
normal — within typical or standard parameters for ECG measurements and patterns
narrow — having reduced width or duration, typically referring to QRS complex less than 120ms
split — divided or separated into distinct components in ECG waveform pattern
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