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心脏性猝死的危险分层及治疗仍然是本世纪的一大难题。目前,临床上一直致力于寻找最佳的指导心脏性猝死预测与治疗的方法。碎裂QRS波是一种简单易得、非侵入性的反应心肌瘢痕及心肌纤维化的的重要指标。碎裂QRS波可用于心脏性猝死及其他心血管不良事件的预测且其可指导心脏再同步化治疗及埋藏式心脏转复除颤器患者的选择。在不同患者中,碎裂QRS波的预测价值并不一致,联合多种指标综合指导心脏性猝死的预警及治疗可能是将来研究的方向。
Danger stratification and treatment of sudden cardiac death is still a major problem of this century. At present, the clinic has been committed to finding the best way to predict and treat sudden cardiac death. Fragmentation QRS wave is an easy, noninvasive, and important indicator of myocardial scarring and myocardial fibrosis. Fragmented QRS waves can be used for the prediction of sudden cardiac death and other cardiovascular adverse events and can guide cardiac resynchronization therapy and the choice of implantable cardioverter defibrillator. In different patients, the predictive value of fragmented QRS wave is not consistent, combined with multiple indicators of comprehensive guidance of early warning and treatment of sudden cardiac death may be the direction of future research.