Zenner R J, Clement D L, Pannier R
Acta Cardiol. 1981;36(4):275-87.
It has clinically well been recognized that the vectorcardiogram in younger patients often shows characteristics that are largely different from the figures obtained in general adult populations. Well documented information on VCG parameters in younger subjects is scarce; the present paper deals with a report on 194 white females and 63 white males, aged 18-25 years. Data were analyzed using the Pipberger program 3.6, and also statistically compared to the classical Pipberger standards. Some parameters (e.g. QRS duration) show different values typically in females, as well in our group of young females as in the reference Pipberger group; other measurements (e.g. Q/Rz amplitude ratio) are specifically deviated in the young population and a pronounced anterior displacement of QRS is regularly observed here. It appears remarkable that QRS amplitude in the young age groups is significantly higher than in the general Pipberger groups only when examined in the inferior direction. The 96% range limits found in this study resp. in young males, and in young females, for the QRS spatial maximal vector (3.08 resp. 2.61 mV) and for RX + RZ (3.22 resp. 2.45 mV) can be taken into account for considering LVH in youngsters.
临床上已经充分认识到,年轻患者的向量心电图通常显示出与一般成年人群所得图形有很大差异的特征。关于年轻受试者向量心电图参数的详细记录信息很少;本文涉及一份关于194名18至25岁白人女性和63名白人男性的报告。使用Pipberger程序3.6对数据进行分析,并与经典的Pipberger标准进行统计学比较。一些参数(如QRS时限)在女性中通常显示出不同的值,在我们的年轻女性组和参考Pipberger组中都是如此;其他测量值(如Q/Rz振幅比)在年轻人群中特别偏离,并且在此经常观察到QRS明显向前移位。值得注意的是,仅在向下检查时,年轻年龄组的QRS振幅才明显高于一般Pipberger组。本研究中发现的96%范围界限,分别在年轻男性和年轻女性中,对于QRS空间最大向量(分别为3.08和2.61 mV)以及RX + RZ(分别为3.22和2.45 mV),可用于考虑青少年左心室肥厚。