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心室去极化向量大小的年龄相关性变化:磁心动图分析

Age-related changes in the magnitude of ventricular depolarization vector: analyses by magnetocardiogram.

作者信息

Miyajima H, Nomura M, Nada T, Kondo Y, Yukinaka M, Saito K, Tada Y, Ito S, Nakaya Y

机构信息

Second Department of Internal Medicine, School of Medicine, University of Tokushima, Japan.

出版信息

J Electrocardiol. 2000 Jan;33(1):31-5. doi: 10.1016/s0022-0736(00)80098-9.

Abstract

The magnetocardiogram has the beneficial feature that permits the strength and location of the current dipole to be estimated. This study examines the issue of whether the magnitude of the heart current during depolarization phase was influenced by the age of healthy subjects. The magnetocardiograms were recorded by means of a second-derivative SQUID (superconducting quantum interference device) magnetometer (BT Corp, Model BMP, San Diego, CA) in 150 healthy subjects. The subjects were subgrouped into 5 age-based categories according to the age. The current dipole of the maximum QRS complex was determined from isofield contour maps during the ventricular depolarization phase, and no significant differences were observed in the magnitude in the current source for any age category. However, the amplitudes of the RV5 and SV1 + RV5 in the standard electrocardiogram were larger in 65 to 74-year-old women than other age groups, and the SV1 + RV5 was smaller for the 45 to 74-year-old men than for the men aged 25 to 44 years. These findings suggest that the age-associated changes in the QRS complex observed by the electrocardiogram are caused by increased electric resistance and not by the heart current itself. The results additionally suggest that no effects of aging were observed in the actual heart current of the heart during the depolarization phase.

摘要

磁心动图具有能够估计电流偶极子强度和位置的有益特性。本研究探讨了健康受试者去极化阶段心脏电流大小是否受年龄影响这一问题。使用二阶导数超导量子干涉装置(SQUID)磁力计(BT公司,型号BMP,加利福尼亚州圣地亚哥)记录了150名健康受试者的磁心动图。根据年龄将受试者分为5个基于年龄的类别。在心室去极化阶段,从等场等值线图确定最大QRS复合波的电流偶极子,且未观察到任何年龄组的电流源大小有显著差异。然而,标准心电图中RV5和SV1 + RV5的振幅在65至74岁女性中比其他年龄组更大,且45至74岁男性的SV1 + RV5比25至44岁男性更小。这些发现表明,心电图观察到的QRS复合波中与年龄相关的变化是由电阻增加引起的,而非心脏电流本身。结果还表明,在去极化阶段未观察到衰老对心脏实际电流有影响。

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