Breithardt G, Cain M E, el-Sherif N, Flowers N, Hombach V, Janse M, Simson M B, Steinbeck G
European Society of Cardiology, Rotterdam, The Netherlands.
Eur Heart J. 1991 Apr;12(4):473-80. doi: 10.1093/oxfordjournals.eurheartj.a059926.
Sufficient data are available to recommend that the high-resolution or signal-averaged electrocardiogram can be used in patients recovering from myocardial infarction without bundle branch block to help to determine their risk for developing sustained ventricular tachyarrhythmias. However, no data are available regarding the extent to which pharmacologic or non-pharmacologic interventions in patients with late potentials have an impact on the incidence of sudden cardiac death. Therefore, controlled, prospective studies are required before this issue can be definitely answered. As refinements in techniques evolve, it is anticipated that the clinical value of high-resolution or signal-averaged electrocardiography will continue to increase in the future.
现有足够的数据表明,对于无束支传导阻滞的心肌梗死恢复期患者,可使用高分辨率或信号平均心电图来帮助确定其发生持续性室性心律失常的风险。然而,关于对有晚电位的患者进行药物或非药物干预在多大程度上影响心源性猝死发生率的数据尚不存在。因此,在这个问题得到明确回答之前,需要进行对照的前瞻性研究。随着技术的不断完善,预计高分辨率或信号平均心电图的临床价值在未来将持续增加。