Douard H, Mora B, Broustet J P
Département des épreuves d'effort et de la réadaptation, hôpital cardiologique du Haut-Lévêque, Pessac, France.
Arch Mal Coeur Vaiss. 1988 Oct;81(10):1193-7.
The respective diagnostic values of CM5 and V5 leads in exercise tests were studied in 100 patients, 89 of whom had coronary disease. Mean maximum ST depression and mean R wave amplitude at rest and at peak exertion were very much greater with CM5 than with V5 (p less than 0.0001). These two parameters seemed to vary concurrently. The contribution of both leads to the diagnosis in terms of sensitivity is probably the same; the more severe the coronary disease, the more pronounced the ST depression on CM5 tracings as compared to V5 tracings. A significant ST depression (1 mm) also appears more rapidly on the bipolar MC5 lead.
在100例患者中研究了CM5和V5导联在运动试验中的各自诊断价值,其中89例患有冠心病。CM5导联静息和运动高峰时的平均最大ST段压低以及平均R波振幅比V5导联大得多(p<0.0001)。这两个参数似乎同时变化。就敏感性而言,两个导联对诊断的贡献可能相同;冠心病越严重,与V5导联心电图相比,CM5导联心电图上的ST段压低越明显。双极MC5导联上显著的ST段压低(1毫米)也出现得更快。