Kosuge Masami, Kimura Kazuo
The Division of Cardiology, Yokohama City University Medical Center.
Circ J. 2016 Apr 25;80(5):1087-96. doi: 10.1253/circj.CJ-16-0126. Epub 2016 Mar 28.
The 12-lead electrocardiogram (ECG) is the important, initial examination for diagnosing acute coronary syndrome (ACS). In the traditional 12-lead ECG display, the precordial leads are displayed in their anatomically contiguous order, which makes it easy to understand the positional relationships between the precordial leads and the heart, but the limb leads are not. The "Cabrera sequence" displays the limb leads in an anatomically contiguous manner, which facilitates understanding of the positional relations between the limb leads and the heart, resulting in more rapid, easy, and accurate ECG interpretation than the traditional limb leads display. This review explores the clinical advantages of the Cabrera sequence as compared with the traditional limb leads display for the diagnosis of ACS. (Circ J 2016; 80: 1087-1096).
12导联心电图（ECG）是诊断急性冠状动脉综合征（ACS）的重要初始检查。在传统的12导联心电图显示中，胸前导联按解剖学上相邻的顺序显示，这便于理解胸前导联与心脏之间的位置关系，但肢体导联并非如此。“卡布雷拉序列”以解剖学上相邻的方式显示肢体导联，这有助于理解肢体导联与心脏之间的位置关系，与传统的肢体导联显示相比，能更快速、轻松且准确地解读心电图。本综述探讨了与传统肢体导联显示相比，卡布雷拉序列在诊断ACS方面的临床优势。（《循环杂志》2016年；80: 1087 - 1096）
