Cárdenas Manuel
Instituto Nacional de Cardiología Ignacio Chávez, INCICH, Juan Badiano No. 1 Col. Sección XVI, Tlalpan 14080 México, D.F.
Arch Cardiol Mex. 2004 Jan-Mar;74 Suppl 1:S38-43.
The classical-electrocardiographic concepts of the death, injured and ischemic zones based on the action potential changes and its vectorial manifestations in the surface ECG in relation with the solid angle theory are described. The necessary recognition of this three concentrical zones to sustain the diagnosis of myocardial infarction is described. The special case of the pure dorsal and the posteroinferior infarction extension to the right ventricle explain the necessity to utilize additional leads, other of the 12 classically used and the findings that permit the diagnosis.
基于动作电位变化及其在体表心电图中的向量表现,并结合立体角理论,描述了关于死亡区、损伤区和缺血区的经典心电图概念。阐述了为维持心肌梗死诊断而对这三个同心区进行必要识别的情况。单纯后壁及后下壁梗死扩展至右心室的特殊情况,解释了使用除经典的12导联之外的其他附加导联进行诊断的必要性及相关诊断依据。