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用于表征和比较向量心电图的新函数和变量(作者译)

[New functions and variables to characterize and compare vectorcardiograms (author's transl)].

作者信息

Koch W, Schaefer H

出版信息

Basic Res Cardiol. 1975 Jan-Feb;70(1):103-4. doi: 10.1007/BF01905557.

Abstract
  1. The variability of electrographic data used up to now is too large to discriminate easily between normal and abnormal. 2. This variability is partly caused by errors in the measuring process and its consequences. A sepcial difficulty is found in determining the beginning and the end of QRS, so that instantaneous vector magnitudes related to the starting or ending moment of QRS will have a high variance and therefore a low comparability. Displacements of the heart will play an important role as a source of errors. 3. It therefore seems to be more appropriate to describe structure and changes in time of the vector loop. To this end 3 new functions v, w and u are described, all three invariant towards positional changes of the heart in space. The term v means a time-dependent function describing the first derivative of the length of the instantaneous resulting vector of all electrical sources. The term w indicates the projection of the first derivative of the instantaneous vector into a plane orthogonal to the resulting vector. Therefore, v is dependent on the change of all resulting electrical forces, whereas w is the velocity of the peak of the resulting vector on its way along the vector loop. The interpretation of u is complicated; u is a measure of how much the vector leaves a plane, in which it normally more or less remains; u is therefore a measure for the edgeside view of the vector loop. 4 These data are combined with the well-known vectorial data to form a system of vectorial description. 5 The interpretability of these data in physiological terms is exemplified. The description presented here allows to go back to cardiac processes in the proper sense and to largely elimenate external influences like those of the thoracic shape on the ecg and vcg. 6. This way of describing an ecg is specially adapted to the discrimination of normal and abnormal in preventive tests.
摘要
  1. 到目前为止所使用的心电图数据变异性太大,难以轻松区分正常与异常情况。2. 这种变异性部分是由测量过程中的误差及其后果造成的。在确定QRS波的起始和结束时发现了一个特殊困难,以至于与QRS波起始或结束时刻相关的瞬时向量大小会有很大方差,因此可比性较低。心脏的位移作为误差来源将起重要作用。3. 因此,描述向量环的结构及其随时间的变化似乎更为合适。为此,描述了三个新函数v、w和u,这三个函数对于心脏在空间中的位置变化都是不变的。术语v表示一个随时间变化的函数,描述所有电源瞬时合成向量长度的一阶导数。术语w表示瞬时向量的一阶导数在与合成向量正交的平面上的投影。因此,v取决于所有合成电力的变化,而w是合成向量峰值沿向量环移动的速度。u的解释较为复杂;u衡量向量偏离其通常或多或少所在平面的程度;因此,u是向量环边缘视图的一个度量。4. 这些数据与著名的向量数据相结合,形成一个向量描述系统。5. 举例说明了这些数据在生理学方面的可解释性。这里给出的描述能够真正追溯到心脏过程,并在很大程度上消除诸如胸廓形状对心电图和向量心电图的外部影响。6. 这种描述心电图的方式特别适用于预防性检查中正常与异常的区分。

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