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[心电图和向量心电图校正正交系统与运动负荷心电图自行车试验联合应用于隐匿型缺血性心脏病诊断的可能性]

[Possibilities for a complex of corrected orthogenal systems of electro- and vectorcardiograms and the ergometric bicycle test with loading in the diagnosis of the latent form of ischemic heart disease].

作者信息

Gasilin V S, Grigor'ev N N

出版信息

Kardiologiia. 1976 Nov;16(11):98-105.

PMID:1011473
Abstract

The examination was conducted in 100 patients with a cardiac pain syndrome and a normal ECG at rest. Apart from the routine clinical examination, the patients were subjected to ergometric bycycle tests with recording corrected orthogonal electrocardiogrammes and vectorcardiogrammes. All the examined patients were subdivided into 3 groups with reference to their electrocardiographic response to the exercise: group 1 -- 55 persons with physiological changes, group 2 -- 37 persons with pathological changes, and group 3 -- 8 persons with threshold changes on ECG under the exercise. By comparing the vectorcardiogrammes in group 1 and 2 patients vectorcardiographic criteria pathognomonic for ischaemic heart disease were found. With their help the form of the lesion was established in 2 of the 8 patients with threshold changes on ECG under exercises. The method of combined evaluation of ECG and vectorcardiogrammes under exercises. The method of combined evaluation of ECG and vectorcardiogrammes under exercise tests increases their diagnostic potentials in revealing the latent form of ischaemic heart disease.

摘要

对100例有心脏疼痛综合征且静息心电图正常的患者进行了检查。除常规临床检查外,患者还接受了功率自行车试验,记录校正后的正交心电图和向量心电图。所有受检患者根据其运动时的心电图反应分为3组:第1组——55例有生理变化的患者,第2组——37例有病理变化的患者,第3组——8例运动时心电图有阈值变化的患者。通过比较第1组和第2组患者的向量心电图,发现了缺血性心脏病的向量心电图特征性标准。借助这些标准,在8例运动时心电图有阈值变化的患者中的2例确定了病变形式。运动试验时心电图和向量心电图联合评估的方法。运动试验时心电图和向量心电图联合评估的方法提高了它们在揭示缺血性心脏病潜在形式方面的诊断潜力。

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Kardiologiia. 1976 Nov;16(11):98-105.
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