Nahas Kamil, Baneux Philippe, Detweiler David
Department of Comparative Medicine, Pfizer Global Research and Development, Amboise, France.
Comp Med. 2002 Jun;52(3):258-64.
The purpose of the study reported here was to determine conditions for electrocardiographic monitoring in the Göttingen minipig in view of its use as a second non-rodent species in toxicology studies. Electrocardiograms were recorded from conscious minipigs (6/sex) maintained in a sling. The three standard bipolar limb leads (I, II, III), the three augmented unipolar limb leads (aVR, aVL, aVF), the triangular Nehb-Spöri leads (dorsal, axial, ventral) and their corresponding unipolar leads were recorded, and automated analysis of amplitudes and intervals was made. Major QRS patterns were not observed for any of the bipolar and unipolar leads. For triangular leads, the amplitude of waves was higher than that for limb leads, and the rS pattern dominated for dorsal, axial ventral and aV(F)-Ventral leads. The qR pattern dominated in the aV(R)-dorsal lead, whereas consistency and dominant patterns were not observed for the aV(L)-axial lead. For limb leads, the position of the electrode affected the ECG. Electrodes placed on the cubital and stifle joints were the preferred positions since the P- and R-waves were clearly identifiable with amplitudes > 0.2 mV. Also, the T-wave amplitude was (positive or negative) > 0.2 mV in at least two leads, making the determination of the QT-interval accurate. For the triangular leads, the position of the electrode had less influence on the amplitude of deflections. However, if the axial lead is to be used for calculation of intervals and amplitudes, the xyphoid process is the preferred position. In conclusion, the triangular lead system is recommended for recording ECGs in minipigs. Limb leads could be used in connection. The cubital and stifle joints for standard limb leads and the neck, sacrum, and xyphoid process for triangular leads are the preferred positions for electrodes.
本文报道的研究目的是鉴于 Göttingen 小型猪作为毒理学研究中的第二种非啮齿类动物,确定其心电图监测的条件。从置于吊带中的清醒小型猪(6 只/性别)记录心电图。记录了三个标准双极肢体导联(I、II、III)、三个加压单极肢体导联(aVR、aVL、aVF)、三角形 Nehb-Spöri 导联(背侧、轴向、腹侧)及其相应的单极导联,并对振幅和间期进行了自动分析。对于任何双极和单极导联均未观察到主要的 QRS 模式。对于三角形导联,波的振幅高于肢体导联,并且背侧、轴向腹侧和 aV(F)-腹侧导联以 rS 模式为主。aV(R)-背侧导联以 qR 模式为主,而 aV(L)-轴向导联未观察到一致性和主导模式。对于肢体导联,电极位置会影响心电图。置于肘和膝关节的电极是首选位置,因为 P 波和 R 波清晰可辨,振幅>0.2 mV。此外,至少在两个导联中 T 波振幅(正向或负向)>0.2 mV,使得 QT 间期的测定准确。对于三角形导联,电极位置对偏转振幅的影响较小。然而,如果要使用轴向导联计算间期和振幅,剑突是首选位置。总之,建议使用三角形导联系统记录小型猪的心电图。可结合使用肢体导联。标准肢体导联的肘和膝关节以及三角形导联的颈部、骶骨和剑突是电极的首选位置。