Medrano G A, de Micheli A, Espino Vela J
Arch Inst Cardiol Mex. 1975 Sep-Oct;45(5):617-54.
Electrocardiograms obtained in two groups of patients with inversion of the ventricles and transposition of the great arteries, were analyzed: group I corresponding in situs solitus and group II to situs inversus. This series comprises 36 cases (29 of group I and 7 of Group II), in which the diagnosis of the main congenital heart disease --ventricular inversion-- and of the associated defects was established by angiocardiography. In 7 cases of group I and in one of group II, the angiocardiographic diagnosis was proved at least in part during open heart surgery. Direct anatomic study was possible in 5 more cases of group I and in 2 more of group II. Each group comprises two subgroups: A, without RBBB, and B, with RBBB of different degrees. Group I consists of 11 cases of subgroup A and 18 of subgroup B. In group II there were 2 cases of subgroup A and 5 of subgroup B. Vectorcardiograms were obtained following Grishman's method in 17 cases of group I (8 of subgroup A and 9 of subgroup B) and in 3 cases of group II (1 of subgroup A and 2 of subgroup B). In 7 cases of group I (5 of subgroup A and 2 of subgroup B), it was possible to record also the vectorcardiographic curves following Frank's method. Electro and vectorcardiographic findings were correlated with hemodynamic data and, in some cases, also with anatomic ones.
第一组患者心脏位置正常，第二组患者心脏位置反转。该系列包括36例患者（第一组29例，第二组7例），其中主要先天性心脏病——心室反转——以及相关缺陷的诊断通过心血管造影确定。在第一组的7例患者和第二组的1例患者中，心血管造影诊断至少在部分心脏直视手术过程中得到了证实。在第一组的另外5例患者和第二组的另外2例患者中进行了直接解剖研究。每组包括两个亚组：A组，无右束支传导阻滞；B组，有不同程度的右束支传导阻滞。第一组包括A亚组的11例患者和B亚组的18例患者。第二组有A亚组的2例患者和B亚组的5例患者。按照格里什曼方法对第一组的17例患者（A亚组8例，B亚组9例）和第二组的3例患者（A亚组1例，B亚组2例）进行了向量心电图检查。在第一组的7例患者（A亚组5例，B亚组2例）中，还按照弗兰克方法记录了向量心电图曲线。心电图和向量心电图检查结果与血流动力学数据相关，在某些情况下，还与解剖学数据相关。
