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使用一种新的心电图导联系统对马的心脏变量进行评估。

Assessment of cardiac variables using a new electrocardiography lead system in horses.

作者信息

Cherdchutham Worakij, Koomgun Kanoklada, Singtoniwet Suchanan, Wongsutthawart Napattra, Nontakanun Napass, Wanmad Wipasitnee, Petchdee Soontaree

机构信息

Department of Large Animal and Wildlife Clinical Sciences, Faculty of Veterinary Medicine, Kasetsart University, Kamphaeng Saen Campus 73140, Thailand.

出版信息

Vet World. 2020 Jun;13(6):1229-1233. doi: 10.14202/vetworld.2020.1229-1233. Epub 2020 Jun 29.

Abstract

AIM

The objective of this study was to assess a new lead system method to improve electrocardiographic measurement in horses.

MATERIALS AND METHODS

Twenty-two horses with an average age of 8.8±0.8 years were enrolled in this study. Horses were divided into two groups, consisting of a control group (n=11) and athlete group (n=11). Electrocardiography (ECG) and echocardiography were performed to provide information on the structure and function of the heart. Two lead systems, base apex and modified precordial leads, were used for the electrocardiogram to assess the cardiac electrophysiological functions.

RESULTS

PR interval, QT interval, and QRS-T angle presented significant differences between the control and athlete groups when the modified precordial lead system was used. However, significant variations in the mean electrical axis were found when the base apex lead system was used. The modified precordial lead system resulted in more significant differences in cardiac electrophysiological parameters than the base apex lead system. In the athlete group, echocardiography showed cardiac adaptations such as increases in the left atrial and left ventricular dimensions and stroke volume and a decrease in heart rate in response to exercise and training. The observed differences in cardiac morphology and function between groups suggested differences in health performance in the athlete group.

CONCLUSION

These data provided the first evidence that the modified precordial lead system improved statistical variation in ECG recording and provided the most reliable method for health screening in horses.

摘要

目的

本研究的目的是评估一种新的导联系统方法,以改善马匹心电图测量。

材料与方法

本研究纳入了22匹平均年龄为8.8±0.8岁的马。将马分为两组,即对照组(n = 11)和运动员组(n = 11)。进行心电图(ECG)和超声心动图检查,以提供有关心脏结构和功能的信息。使用两种导联系统,即基顶导联和改良胸前导联,进行心电图检查以评估心脏电生理功能。

结果

当使用改良胸前导联系统时,对照组和运动员组之间的PR间期、QT间期和QRS-T角存在显著差异。然而,当使用基顶导联系统时,平均电轴存在显著变化。改良胸前导联系统在心脏电生理参数方面比基顶导联系统产生了更显著的差异。在运动员组中,超声心动图显示心脏适应性变化,如左心房和左心室尺寸增加、每搏输出量增加以及心率因运动和训练而降低。两组之间观察到的心脏形态和功能差异表明运动员组的健康表现存在差异。

结论

这些数据首次证明,改良胸前导联系统改善了心电图记录中的统计变异性,并为马匹健康筛查提供了最可靠的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8045/7396356/ded76d9cbd89/Vetworld-13-1229-g001.jpg

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