Nava A, Rusconi L, Silvani S, Schivazappa L, Buja G F
G Ital Cardiol. 1976;6(2):265-78.
The AA. have analysed 39 VCG which show terminal slowed down forces definitely directed towards the right and the back. It is presumed that such electrical patterns have to be classified amongst defects which deal with right intraventricular conduction. Both the ECG and UCG test have been classified in groups: some of them simulating BFA, others BFP. An analysis of the different developing ways of the vectorial loops has been made. The AA. think that in some cases the particular direction of the terminal forces could be compatible with an isolated and zonal right conduction defect in the posterior region of the right ventricle. In other cases the coexisting electrical pathology of the left ventricle is likely to be responsible for it. At the end the distinguishing diagnostic criteria of the ECG are discussed.
作者们分析了39份心向量图,这些图显示终末向量明显向右和向后缓慢移动。据推测,这种电活动模式应归类于涉及右心室内传导的缺陷。心电图和超声心动图检查已被分为几组:其中一些模拟了BFA,另一些模拟了BFP。对向量环的不同发展方式进行了分析。作者们认为,在某些情况下,终末向量的特定方向可能与右心室后部孤立的区域性右传导缺陷相符。在其他情况下,左心室并存的电病理情况可能是其原因。最后讨论了心电图的鉴别诊断标准。