Ito S, Okuni M, Hosaki J, Kusakawa S, Mori C, Hayakawa K, Honda S, Kitada M, Yamauchi K
Pediatr Cardiol. 1986;6(5):249-51.
Using the 4-Lead Set Japanese Pediatric ECG Screening Criteria Proposal, the effects of fatness on the electrocardiograms were analyzed in 1025 junior high school children, aged 12-15 years (of whom 114 were obese). As the results show, significant differences were detected by the 1% two-sided test between the averages of the nonfat group and the middle- and high-fat groups with regard to S amplitude in leads V1-V3 for boys and girls, R amplitude in leads V4 and V5, SV1 + RV6, SV1 + RV5, and SV3 + RV3 for boys, and S amplitude in leads V4-V6 for girls. High R amplitudes were observed in leads V3 and V4 for the middle- and high-fat group of girls. When applying conventional ECG criteria for left ventricular hypertrophy to the middle- and high-fat groups of boys, the value of SV1 + RV6 greater than or equal to 4.5 mV instead of SV1 + RV6 greater than or equal to 5.0 mV is recommended.
采用日本小儿心电图四导联筛查标准提案，对1025名12至15岁的初中儿童（其中114名为肥胖儿童）的肥胖对心电图的影响进行了分析。结果显示，通过1%双侧检验发现，在V1-V3导联的S波振幅方面，男孩和女孩的非肥胖组与中、高脂肪组平均值之间存在显著差异；在V4和V5导联的R波振幅、男孩的SV1+RV6、SV1+RV5以及SV3+RV3，以及女孩的V4-V6导联的S波振幅方面也存在显著差异。在女孩的中、高脂肪组中，V3和V4导联观察到较高的R波振幅。当将传统的左心室肥厚心电图标准应用于男孩的中、高脂肪组时，建议将SV1+RV6大于或等于4.5mV作为标准，而不是大于或等于5.0mV。
