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自发性高血压大鼠左心室肥厚的心电向量图研究

Vectorcardiographic study on left ventricular hypertrophy in spontaneously hypertensive rats.

作者信息

Yamori Y, Ohtaka M, Nara Y

出版信息

Jpn Circ J. 1976 Nov;40(11):1315-29. doi: 10.1253/jcj.40.1315.

Abstract

To observe cardiac changes in spontaneously hypertensive rats (SHR) functionally, the vectrocardiographic approach was tried, applying the Takayasu lead system to rats. This vectrocardiogram (VCG) was shown to be sufficiently good to detect left ventricular hypertrophy (LVH) in SHR. VCG in SHR showed specific features, some of which were left upward deviation of the maximum QRS vector in the frontal plane, an increased magnitude of the maximum spatial QRS vector, and prolongations of such indices as the QRS duration, time to the maximum spatial QRS vector and QT interval with abnormal ST-T changes. The P wave of SHR in the X scalar electrocardiogram, lower and wider than that of Wistar-Kyoto rats may also be a significant feature of LVH in SHR. The angle of the maximum QRS vector in the horizontal plane was not proven to be a suitable index of LVH in SHR. Most of the histometrical findings were closely correlated to blood pressure. Some of the vectrocardiographic findings were significantly correlated both to blood pressure and to some of the characteristic findings of LVH, such as the weights of the heart and the left ventricle and so forth. This experiment also indicated that LVH in SHR was not limited only to quantitative myocardial hypertrophy. It also seemed to be related to reversible or irreversible qualitative changes of coronary arteries or myocardium, such as myocardial fibrosis. This vectrocardiographic method was shown to be useful in obtaining various information about the cardiovascular system in rats, especially in SHR, and it seemed to be helpful for further understanding hypertensive cardiac diseases in humans.

摘要

为了从功能上观察自发性高血压大鼠(SHR)的心脏变化,尝试采用心电图方法,将高田导联系统应用于大鼠。结果表明,这种心电图(VCG)足以检测SHR中的左心室肥厚(LVH)。SHR的VCG表现出特定特征,其中一些特征包括额面最大QRS向量向左上偏移、最大空间QRS向量幅度增加,以及QRS时限、最大空间QRS向量时间和QT间期等指标延长,并伴有异常的ST-T改变。SHR在X标量心电图中的P波比Wistar-Kyoto大鼠的P波更低、更宽,这也可能是SHR中LVH的一个显著特征。水平面最大QRS向量的角度未被证明是SHR中LVH的合适指标。大多数组织学测量结果与血压密切相关。一些心电图结果与血压以及LVH的一些特征性结果(如心脏和左心室重量等)显著相关。该实验还表明,SHR中的LVH不仅限于心肌的定量肥厚。它似乎还与冠状动脉或心肌的可逆或不可逆质性变化(如心肌纤维化)有关。这种心电图方法被证明有助于获取有关大鼠心血管系统的各种信息,尤其是在SHR中,并且似乎有助于进一步理解人类的高血压性心脏病。

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