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[利用综合心电图地形学、向量测量法和频谱分析诊断缺血性心脏病的可能性]

[Possibilities of utilizing integral topography, vectorometry and spectral analysis of the complexograms for the diagnosis of ischemic heart disease].

作者信息

Bala Iu M, Minaeva I N, Minakov E V, Streletskaia G N

出版信息

Kardiologiia. 1978 Feb;18(2):39-44.

PMID:633725
Abstract

Three approaches to the study of electric and mechanical heart activity were used, which were significant in the diagnosis of various variants of ischemic heart disease. The method of integral topography proved most applicable in the diagnosis of microfocal myocardial infarction. Infarctions which were marked by a typical clinical picture and the corresponding laboratory data (changes in enzymes, leukocytosis, etc)., but could not be sufficiently revealed in the commonly applied 12 leads of the ECG, were successfully identified due to changes in the ST--T zones of the topogram. In the diagnosis of ischemic heart disease attended with disorders of hemodynamics it is advisable to apply the histogram method of identification on the basis of spectral analysis of the complexograms, ballistocardiograms, arteriovenous pulsograms, and phonooscillograms. This method may also be used to assess the stage of circulatory insufficiency. In preventive examination for detecting ischemic heart disease, its painless variants in particular, it is advantageous to use the method of vectorometry of the ECG in in orthogonal leads with the subsequent solution of the diagnostic discrimination polynomials on a computer.

摘要

采用了三种研究心脏电活动和机械活动的方法,这些方法在诊断各种缺血性心脏病变体方面具有重要意义。整体地形图法在诊断微灶性心肌梗死方面被证明是最适用的。那些具有典型临床症状和相应实验室数据(酶变化、白细胞增多等),但在常规应用的12导联心电图中不能充分显示的梗死,由于拓扑图中ST - T区的变化而被成功识别。在诊断伴有血流动力学紊乱的缺血性心脏病时,建议基于综合心动图、心冲击图、动静脉脉搏图和声振图的频谱分析应用直方图识别法。该方法也可用于评估循环功能不全的阶段。在预防性检查中,特别是在检测缺血性心脏病及其无痛变体时,使用正交导联心电图向量测量法并随后在计算机上求解诊断判别多项式是有利的。

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