de Micheli A, Medrano G A
Arch Inst Cardiol Mex. 1986 Sep-Oct;56(5):433-40.
The authors emphasize that "necrosis", "injury" and "ischemia" are terms employed with different meanings by electrocardiographists, hemodynamists and pathologists. In the electrocardiographic field, they correspond respectively to complete diastolic depolarization, partial diastolic depolarization and slow repolarization: the three key concepts of the electrophysiopathology. The terms as used in electropathology reflect functional changes based on metabolic and electrolytic conditions which must be explored by means of such functional methods as electrocardiography. Therefore the electrical meanings of the terms "ischemia", "injury" and "necrosis" do not correspond to those understood by hemodynamists and pathologists. The electrophysiopathologic terminology should always be used to indicate functional phenomenon which originates at the cellular level in order to avoid diagnostic pitfalls and mistakes.
作者强调，“坏死”“损伤”和“缺血”这些术语，心电图专家、血液动力学家和病理学家使用时含义各不相同。在心电图领域，它们分别对应完全舒张期去极化、部分舒张期去极化和缓慢复极化：这是电生理病理学的三个关键概念。电病理学中使用的这些术语反映了基于代谢和电解条件的功能变化，必须通过心电图等功能方法进行探究。因此，“缺血”“损伤”和“坏死”这些术语的电学含义与血液动力学家和病理学家所理解的含义并不对应。为避免诊断失误和错误，应始终使用电生理病理学术语来表示起源于细胞水平的功能现象。
