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Total 12-lead QRS voltage in patients with spontaneous acute aortic dissection with an initiating tear in the ascending aorta.升主动脉起始部有撕裂口的自发性急性主动脉夹层患者的12导联QRS波总电压。
Proc (Bayl Univ Med Cent). 2021 Mar 23;34(4):446-450. doi: 10.1080/08998280.2021.1896060.
2
Electrocardiographic diagnosis of left ventricular hypertrophy by the time-voltage integral of the QRS complex.通过QRS波群时间-电压积分进行左心室肥厚的心电图诊断。
J Am Coll Cardiol. 1994 Jan;23(1):133-40. doi: 10.1016/0735-1097(94)90511-8.
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Electrocardiographic detection of left ventricular hypertrophy by the simple QRS voltage-duration product.通过简单的QRS电压-时限乘积进行心电图检测左心室肥厚。
J Am Coll Cardiol. 1992 Nov 1;20(5):1180-6. doi: 10.1016/0735-1097(92)90376-x.
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Effect of changes in left ventricular anatomy and conduction velocity on the QRS voltage and morphology in left ventricular hypertrophy: a model study.左心室解剖结构和传导速度变化对左心室肥厚时QRS波电压及形态的影响：一项模型研究
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The effect of conduction velocity slowing in left ventricular midwall on the QRS complex morphology: A simulation study.左心室中层心肌传导速度减慢对QRS波群形态的影响：一项模拟研究。
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QRS voltage measurements in autopsied men free of cardiopulmonary disease: a basis for evaluating total QRS voltage as an index of left ventricular hypertrophy.无心肺疾病男性尸检中的QRS电压测量：将总QRS电压作为左心室肥厚指标进行评估的基础。
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Time-voltage QRS area of the 12-lead electrocardiogram: detection of left ventricular hypertrophy.12导联心电图的时间-电压QRS面积：左心室肥厚的检测
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本文引用的文献

1
Biomarkers Investigation for In-Hospital Death in Patients With Stanford Type A Acute Aortic Dissection.斯坦福A型急性主动脉夹层患者院内死亡的生物标志物研究
Int Heart J. 2016 Sep 28;57(5):622-6. doi: 10.1536/ihj.15-484. Epub 2016 Sep 5.
2
Electrocardiography changes in acute aortic dissection-association with troponin leak, coronary anatomy, and prognosis.急性主动脉夹层的心电图变化——与肌钙蛋白泄漏、冠状动脉解剖结构及预后的关系
Am J Emerg Med. 2016 Aug;34(8):1431-6. doi: 10.1016/j.ajem.2016.04.024. Epub 2016 Apr 16.
3
The Predictive Value of Admission Fragmented QRS Complex for In-Hospital Cardiovascular Mortality of Patients with Type 1 Acute Aortic Dissection.入院时碎裂QRS波群对1型急性主动脉夹层患者院内心血管死亡率的预测价值
Ann Noninvasive Electrocardiol. 2015 Sep;20(5):454-63. doi: 10.1111/anec.12232. Epub 2014 Nov 23.
4
Comparison of total 12-lead QRS voltage in a variety of cardiac conditions and its usefulness in predicting increased cardiac mass.比较各种心脏情况的总 12 导联 QRS 电压及其在预测心脏质量增加中的作用。
Am J Cardiol. 2013 Sep 15;112(6):904-9. doi: 10.1016/j.amjcard.2013.04.061. Epub 2013 Jun 14.
5
QRS voltage measurements in autopsied men free of cardiopulmonary disease: a basis for evaluating total QRS voltage as an index of left ventricular hypertrophy.无心肺疾病男性尸检中的QRS电压测量：将总QRS电压作为左心室肥厚指标进行评估的基础。
Am J Cardiol. 1986 Oct 1;58(9):801-4. doi: 10.1016/0002-9149(86)90357-7.

升主动脉起始部有撕裂口的自发性急性主动脉夹层患者的12导联QRS波总电压。

Total 12-lead QRS voltage in patients with spontaneous acute aortic dissection with an initiating tear in the ascending aorta.

作者信息

Roberts William C, Siddiqiquiz Shaffin, Roberts Charles S

机构信息

Baylor Scott & White Heart and Vascular Institute, Baylor University Medical Center, Dallas, Texas.

Division of Cardiology, Department of Medicine, Baylor University Medical Center, Dallas, Texas.

出版信息

Proc (Bayl Univ Med Cent). 2021 Mar 23;34(4):446-450. doi: 10.1080/08998280.2021.1896060.

DOI:10.1080/08998280.2021.1896060
PMID:34219923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8224222/
Abstract

Because nearly all patients with acute aortic dissection have systemic hypertension, we examined electrocardiograms (ECGs) in 21 patients with spontaneous acute type A aortic dissection. An earlier study had shown that total 12-lead QRS voltage was the best criterion for determining left ventricular hypertrophy from the ECG. We measured total 12-lead QRS voltage in 21 patients with spontaneous (no previous cardiac or aortic operation) acute type A aortic dissection and operative repair. Using >175 mm as evidence of left ventricular hypertrophy, only 8 patients (38%) had hearts of increased mass. Total 12-lead QRS voltage corresponded slightly with age but not with body mass index. In conclusion, total 12-lead QRS voltage is not useful for diagnostic purposes in patients with acute type A aortic dissection undergoing operative repair.

摘要

由于几乎所有急性主动脉夹层患者都有系统性高血压，我们对21例自发性急性A型主动脉夹层患者的心电图（ECG）进行了检查。一项较早的研究表明，12导联QRS波群总电压是通过心电图确定左心室肥厚的最佳标准。我们测量了21例自发性（既往无心脏或主动脉手术史）急性A型主动脉夹层并接受手术修复患者的12导联QRS波群总电压。以>175mm作为左心室肥厚的证据，只有8例患者（38%）心脏质量增加。12导联QRS波群总电压与年龄略有相关，但与体重指数无关。总之，12导联QRS波群总电压对接受手术修复的急性A型主动脉夹层患者的诊断并无帮助。