Uygur Özgün, Aydoğdu Ayvaz
Department of Pediatrics, Adnan Menderes University Faculty of Medicine, Aydın, Turkey.
Department of Pediatric Cardiology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey.
Turk Pediatri Ars. 2019 Jul 11;54(2):93-104. doi: 10.14744/TurkPediatriArs.2019.04568. eCollection 2019.
Electrocardiography is an important diagnostic tool in the evaluation of cardiac diseases. Normal electrocardiograms are age-dependent and may also vary due to several factors. Many studies have been performed to establish the normal values for the childhood period. The aim of this study was to determine the normal electrocardiograms values for healthy Turkish children in Aydın.
All children underwent physical examination by a pediatrician and the electrocardiograms were analyzed by the same pediatrician. In the event of improper or insufficient data, the analyses were repeated. Children with a suspicious electrocardiograms or physical examination were recalled and examined by same pediatric cardiologist in outpatient clinic.
In this study, electrocardiogram records were collected randomly from 1163 children with a sampling rate of 500 Hz. Of the children, 562 were female (47.4%) and 601 were male (52.6%). The total population was divided into ten age groups. Significant differences in normal limits were determined compared with previously published studies.
The observed differences in various electrocardiograms parameters could be related to biologic variability and to some technical details such as precordial electrode placement and visual checking of the records in addition to race.
心电图是评估心脏疾病的重要诊断工具。正常心电图因年龄而异,也可能受多种因素影响而有所不同。已经开展了许多研究来确定儿童期的正常值。本研究的目的是确定艾登健康土耳其儿童的正常心电图值。
所有儿童均由儿科医生进行体格检查,心电图由同一位儿科医生分析。若数据不当或不足,则重复分析。心电图或体格检查可疑的儿童被召回,由同一位儿科心脏病专家在门诊进行检查。
本研究以500Hz的采样率从1163名儿童中随机收集心电图记录。其中,女性562名(47.4%),男性601名(52.6%)。总人群分为十个年龄组。与先前发表的研究相比,确定了正常范围的显著差异。
观察到的各种心电图参数差异可能与生物变异性以及一些技术细节有关,如胸前电极放置和记录的视觉检查,此外还与种族有关。