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[左心室肥厚时局灶性和瘢痕性心肌病变体征的心电图和向量心电图鉴别方法]

[Approaches to electro- and vectorcardiographic differentiation of the signs of focal and cicatricial myocardial lesions in left-ventricular hypertrophy].

作者信息

Dorofeeva Z Z, Riabykina G V, Gadzhaeva F U, Iakobashvili M A, Sobolev A V

出版信息

Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1986;9(1):48-56.

PMID:2939852
Abstract

Electro- (12 and 35 ECG leads) and vectorcardiographic (3 orthogonal leads) examination of 75 patients with arterial hypertension and left-ventricular hypertrophy (LVH), 28 of which also had documented stenosis of one or more coronary arteries, was carried out using an automatic system of graphic registration and quantification of ECG-35 and VCG parameters. Electro- and vectorcardiographic signs of "pure" LVH and LVH accompanied by CHD relevant for their differential diagnosis were established. The principal singled out difference criteria include NQ (Q registration zone) and SQRSxyz (space QRS loop area), while Q (Q-wave sum), H0QRSxyz 0.08-0.10 s (QRS end vector azimuth), Gxyz (space ventricular gradient) and V0Gxyz (ventricular gradient elevation) are complementary, determined by the degree of the principal parameter shifts.

摘要

使用心电图-35和心向量图参数的自动图形记录与量化系统,对75例动脉高血压伴左心室肥厚(LVH)患者进行了心电检查(12导联和35导联心电图)和心向量图检查(3个正交导联),其中28例还记录有一支或多支冠状动脉狭窄。确定了“单纯”左心室肥厚及伴有冠心病的左心室肥厚的心电和心向量图征象,这些征象对它们的鉴别诊断具有重要意义。主要区分标准包括NQ(Q波记录区)和SQRSxyz(空间QRS环面积),而Q(Q波总和)、H0QRSxyz 0.08 - 0.10秒(QRS终末向量方位)、Gxyz(空间心室梯度)和V0Gxyz(心室梯度升高)是辅助标准,由主要参数偏移程度决定。

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Biull Vsesoiuznogo Kardiol Nauchn Tsentra AMN SSSR. 1986;9(1):48-56.
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