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[心肌梗死中心电图地形图数据与心脏形态学研究数据的比较]

[Comparison of the data from electrocardiotopography and morphological research on the heart in myocardial infarct].

作者信息

Shaposhnik I I, Gladyshev P L

出版信息

Kardiologiia. 1986 Jun;26(6):54-7.

PMID:3761804
Abstract

Diagnostic value of electrocardiotopography (ECTG) is assessed for different sites of myocardial infarction by means of comparison of postmortem morphologic findings in the hearts of 53 diseased patients with their intravital ECTG data. ECTGs were recorded from 80-100 electrodes applied between the first and tenth intercostal space around the body. ECTG gave an accurate topic structure of MI and cicatricial changes in 49 of 53 patients, while ECG from 12 leads was accurate in 25 patients only. The significance of ECTG for the diagnosis of posterior- and inferior-wall left-ventricular MI is demonstrated. Advantages of this ECTG system are explained, as compared to ECG from 35 anterolateral chest leads. No specific electrocardiotopographic features of right-ventricular MI were identified.

摘要

通过比较53例患病患者心脏的尸检形态学结果与其生前心电图拓扑图(ECTG)数据,评估了心电图拓扑图(ECTG)对不同部位心肌梗死的诊断价值。在身体周围第一至第十肋间空间之间应用80 - 100个电极记录ECTG。ECTG在53例患者中的49例中给出了心肌梗死和瘢痕变化的准确局部结构,而12导联心电图仅在25例患者中准确。证明了ECTG对诊断左心室后壁和下壁心肌梗死的意义。解释了该ECTG系统与35个胸前外侧导联心电图相比的优势。未发现右心室心肌梗死的特定心电图拓扑特征。

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