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[频率相关心电图在左心室肥厚患者中的应用]

[The use of frequency-correlation electrocardiography on patients with left ventricular hypertrophy].

作者信息

Iurenev A P, Didenko V A, Anuchin V V

出版信息

Ter Arkh. 1992;64(4):16-9.

PMID:1440299
Abstract

The frequency correlation electrocardiogram (FCECG) was recorded in 27 patients with arterial hypertension (AH) and left ventricular hypertrophy (LVH), 8 patients with hypertrophic cardiomyopathy, 22 patients with coronary heart disease (CHD) and in 10 practically healthy volunteers. V4, V5 and V6 ECG leads were used as channel X, whereas lead II was used as channel Y. Application of V6 lead as channel X turned out most informative. The patients with AH and CHD had pathological indices in channel coherence. The patients with LVH manifested deviations in the spectrum of the amplitudes of lead II. The patients with associated LVH and relative coronary insufficiency demonstrated the unchanged FCECG like the practically healthy persons. In the given case, however, the unchanged FCECG in the above patients reflected the impairment of stimulation spreading in the left ventricular myocardium rather than the lack of its hypertrophy.

摘要

对27例动脉高血压(AH)合并左心室肥厚(LVH)患者、8例肥厚型心肌病患者、22例冠心病(CHD)患者以及10名实际健康的志愿者进行了频率相关心电图(FCECG)记录。心电图V4、V5和V6导联用作通道X,而导联II用作通道Y。结果发现,将V6导联用作通道X时信息量最大。AH和CHD患者在通道相干性方面有病理指标。LVH患者在导联II振幅频谱上表现出偏差。合并LVH和相对性冠状动脉供血不足的患者FCECG与实际健康者一样无变化。然而,在这种情况下,上述患者FCECG无变化反映的是左心室心肌刺激传导受损,而非缺乏左心室肥厚。

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