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[通过体表标测对心肌前壁和下壁梗死进行定位]

[Localization of infarction of the anterior and inferior myocardial wall by body surface mapping].

作者信息

Górnicki M, Jagielski J, Swiderska-Błońska T

机构信息

Katedra i Zakład Patofizjologii Akademii Medycznej, Wrocławiu.

出版信息

Pol Arch Med Wewn. 1992 Aug-Sep;88(2-3):90-102.

PMID:1492030
Abstract

11 patients after anterior myocardial infarction and 7 patients inferior myocardial infarction were subjected to potentials mapping from 87 body surface electrode system. The reference group was made up by 15 healthy individuals. The analysis referred to isopotential and isointegral maps during the 20 ms and 40 ms of the QRS onset and for the entire QRS. It was stated that the occurrence of abnormal potential minimum might be the essential diagnostic criterion. In the case of anterior infarction, the abnormal negative potentials is located in the vicinity of the sternum, whereas in inferior infarction in right and lower part of the chest. The diagnostics of inferior infarction requires additional criteria, ventricular activation time maps especially.

摘要

11例前壁心肌梗死后患者和7例下壁心肌梗死患者接受了来自87体表电极系统的电位标测。参照组由15名健康个体组成。分析涉及QRS波起始20毫秒和40毫秒以及整个QRS波期间的等电位图和等积分图。研究表明,异常电位最小值的出现可能是重要的诊断标准。在前壁梗死的情况下,异常负电位位于胸骨附近,而下壁梗死时则位于胸部右侧和下部。下壁梗死的诊断需要额外的标准,尤其是心室激动时间图。

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