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[心电图中比较导联场的方法理论(作者译)]

[Theory of methods to compare lead fields in electrocardiography (author's transl)].

作者信息

Hiltmann W D, Schaefer H

出版信息

Basic Res Cardiol. 1975 Jan-Feb;70(1):678-86.

PMID:1122220
Abstract

A method is theoretically described to test the accuracy of various lead system of the ecg. The priniciple of this method consists in the following procedure. The heart position is changed maximally in a proband by varying the position of the body and by deep inspiration and exspiration. If the lead field is parallel, the recorded vector loops should by conventible into each other by merely rotating them electronically, because the cardiac determinants of the veg will scarcely be changed by a change in heart position. The deformations of the veg in the edgeside and broadside view are an appropriate measure of the inhomogenities (the "accuracy") of the lead field, mostly caused by the configuration of the chest and the inhomogeneous conductivity of the tissues and the resulting lack of parallelity in the lead lines of the field. Criteria to test the form of the vector loop are developed, measuring quantitatively the similarly of the loops recorded in different heart positions. The "best" lead is regarded to be that with greatest similarity of the loops in extreme dislocations of the heart.

摘要

理论上描述了一种测试心电图各种导联系统准确性的方法。该方法的原理包括以下步骤。通过改变身体位置以及进行深呼吸和呼气,使受试者的心脏位置发生最大程度的变化。如果导联场是平行的,那么记录的向量环应该仅仅通过电子旋转就可以相互转换,因为心脏位置的改变几乎不会改变心电向量图的心脏决定因素。在心电向量图的边缘视图和宽边视图中的变形是导联场不均匀性(“准确性”)的一种合适度量,这主要是由胸部的形态、组织的不均匀导电性以及由此导致的场导联线缺乏平行性所引起的。制定了测试向量环形式的标准,定量测量在不同心脏位置记录的环的相似性。“最佳”导联被认为是在心脏极端移位时环的相似性最大的导联。

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