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用于成人磁心动图制作标准MCG参数标准化的时空数据库。

Space-time database for standardization of adult magnetocardiogram-making standard MCG parameters.

作者信息

Kandori Akihiko, Ogata Kuniomi, Watanabe Yasushi, Takuma Noriko, Tanaka Kimio, Murakami Masahiro, Miyashita Tsuyoshi, Sasaki Nobuo, Oka Yuji

机构信息

Advanced Research Laboratory, Hitachi Ltd., Kokubunji, Tokyo, Tokyo.

出版信息

Pacing Clin Electrophysiol. 2008 Apr;31(4):422-31. doi: 10.1111/j.1540-8159.2008.01011.x.

Abstract

BACKGROUND

The magnetocardiogram (MCG) is a promising medical tool for detecting and visualizing abnormal cardiac electrical activation in heart-disease patients. However, there is no large-scale MCG database of healthy subjects, and there is little knowledge of gender- and age-related influences on MCG data.

METHODS AND RESULTS

We obtained MCG data from 869 subjects (554 men, 315 women) using a conventional 64-channel MCG system, which covers the whole heart. Electrocardiogram (ECG) data were also obtained; 464 people (268 men, 196 women) were identified as a normal group using ECG data. Time intervals (PQ, QRS, QT, and QTc), current distributions (maximum current vector (MCV), and the total current vector (TCV)) of MCG data of the 464 normal subjects were analyzed to obtain basic MCG parameters. Although mean values of PQ and QRS intervals of the male subjects were slightly longer than those of the female subjects, no intervals were correlated with gender or age. The correlation between PQ intervals of ECG and those of MCG was better than the correlation between QRS and QT intervals of ECG and those of MCG. Both MCV and TCV angles were much smaller than the electrical-axis angle in ECG. Although TCVs of the QRS and T waves were stable, the women's mean T-wave-TCV angles significantly increased with age. The maximum amplitude of the P wave was about 1.7 pT, and the value of the QRS complex was about 20-25 pT. Moreover, the T-wave amplitude decreases with age.

CONCLUSION

The MCG standard space-time parameters determined here provide a normal range for MCG parameters.

摘要

背景

磁心动图(MCG)是一种很有前景的医学工具,可用于检测和可视化心脏病患者心脏异常电活动。然而,目前尚无大规模的健康受试者MCG数据库,对于性别和年龄对MCG数据的影响也知之甚少。

方法与结果

我们使用覆盖整个心脏的传统64通道MCG系统,从869名受试者(554名男性,315名女性)中获取了MCG数据。同时也获取了心电图(ECG)数据;利用ECG数据将464人(268名男性,196名女性)确定为正常组。对这464名正常受试者的MCG数据的时间间隔(PQ、QRS、QT和QTc)、电流分布(最大电流矢量(MCV)和总电流矢量(TCV))进行分析,以获得基本的MCG参数。虽然男性受试者的PQ和QRS间期平均值略长于女性受试者,但各间期均与性别或年龄无关。ECG的PQ间期与MCG的PQ间期之间的相关性优于ECG的QRS和QT间期与MCG的相应间期之间的相关性。MCV和TCV角度均远小于ECG中的电轴角度。虽然QRS波和T波的TCV稳定,但女性的平均T波-TCV角度随年龄显著增加。P波的最大振幅约为1.7 pT,QRS复合波的值约为20 - 25 pT。此外,T波振幅随年龄降低。

结论

此处确定的MCG标准时空参数为MCG参数提供了正常范围。

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