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[一种不寻常形式肥厚型心肌病的向量心电图研究]

[Vectorcardiographic study of an unusual form of hypertrophic cardiomyopathy].

作者信息

Alcini E, Mottironi P, Anastasi R, Palagi L

出版信息

Minerva Med. 1984 Oct 27;75(41):2437-44.

PMID:6239110
Abstract

The many aspects of heart electrical activity in hypertrophic cardiomyopathy have recently been described in numerous occasions. A vectorcardiographic study was made of two sisters with an echocardiographic diagnosis of hypertrophy of the free wall of the left ventricle. Both the ECG and the VCG shown evidence of pseudonecrosis and pseudoischaemia associated with left intraventricular conduction disturbances and left atrial dilatation. It is felt that echocardiography, and the two-dimensional examination in particular, is essential in the diagnosis of myocardial hypertrophy, but it is pointed out that ECG, and above all VCG, may sometimes indicate its site and extent with a good degree of approximation.

摘要

肥厚型心肌病中心脏电活动的诸多方面最近已在许多场合被描述。对两名经超声心动图诊断为左心室游离壁肥厚的姐妹进行了心电向量图研究。心电图和心电向量图均显示有与左心室内传导障碍及左心房扩大相关的假性坏死和假性缺血的证据。人们认为,超声心动图,尤其是二维检查,在心肌肥厚的诊断中至关重要,但需要指出的是,心电图,尤其是心电向量图,有时可能相当准确地指示其部位和程度。

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