de Micheli A, Iturralde P, Medrano Gustavo A
Del Instituto Nacional de Cardiología "lgnacio Chivez", México, D.F.
Arch Cardiol Mex. 2006 Oct-Dec;76 Suppl 4:S137-43.
Electro-Vectorcardiographic curves, corresponding some heart diseases, must be analyzed in the light of the ventricular depolarization sequence, as well as on the heart's position and rotation. A more than 30-msec interval between the end of the initial slurring (delta) and the vertex of the R wave in the left unipolar leads or the main axis of the vectorcardiographic ventricular curves, allows us to infer the coexistence of left ventricular hypertrophy. On the other hand, segmental irregularities or distorsions of the electric curves suggest the presence of a limited myocardial zone unable to be activated. Extensive or multiple deformations of these curves are more suggestive of a diffuse myocardial damage. Sometimes signs of preexcitation, due to a pharmacological action, can also appear.
必须根据心室去极化顺序以及心脏的位置和旋转情况,对与某些心脏病相关的心电图曲线进行分析。在左单极导联中初始模糊(δ)结束与R波顶点之间或心电图心室曲线的主轴之间存在超过30毫秒的间隔,这使我们能够推断左心室肥大的并存情况。另一方面,电曲线的节段性不规则或扭曲表明存在无法被激活的有限心肌区域。这些曲线的广泛或多处变形更提示弥漫性心肌损伤。有时,由于药理作用,预激征象也可能出现。