[通过心电图和病理解剖方法测定心肌病变的大小]

[Determination of the size of the myocardial lesion by electrocardiographic and pathologico-anatomic methods].

作者信息

Vinogradov A V, Arutiunov G P, Glazunov A S

出版信息

Kardiologiia. 1981 Feb;21(2):73-9.

Abstract

Precordial mapping was performed in 16 patients with acute anteroseptal myocardial infarction admitted to the clinic within 10 hours after the onset of the disease. Changes in the QRS complex, ST segment, and Q and R waves as well as the total number of points with QS type complexes were appraised on the cartograms. The findings of precordial mapping were compared with the mass and area of the affected tissue determined on autopsy. It was established that the number of QS type complexes recorded on the cartogram is highly informative in appraising the mass of myocardial infarction. The extreme values of the area of the QS complex and R wave correlate well with the area of the affection. The revealed regularities made it possible to deduce a formula for determining the mass of damaged tissue in various degrees of necrosis.

摘要

对16例急性前间壁心肌梗死患者在发病后10小时内入院进行心前区心电图描记。在心电图上评估QRS波群、ST段、Q波和R波的变化以及QS型波群的总点数。将心前区心电图描记的结果与尸检时确定的梗死组织的质量和面积进行比较。结果表明，心电图上记录的QS型波群数量在评估心肌梗死质量方面具有很高的信息量。QS波群和R波面积的极值与梗死面积密切相关。所揭示的规律使得有可能推导出一个公式，用于确定不同坏死程度下受损组织的质量。

相似文献

1

[Determination of the size of the myocardial lesion by electrocardiographic and pathologico-anatomic methods].[通过心电图和病理解剖方法测定心肌病变的大小]

Kardiologiia. 1981 Feb;21(2):73-9.

2

[Determination of the necrotic mass in inferior myocardial infarct by standard electrocardiography].[通过标准心电图测定下壁心肌梗死的坏死心肌量]

Kardiologiia. 1985 Apr;25(4):25-8.

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[Evaluation of the ST segment and QRS complex in acute myocardial infarction based on the 36 and 6 precardiac ECG leads].基于36导联和6导联胸前心电图对急性心肌梗死ST段和QRS波群的评估

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Early electrocardiographic findings and MR imaging-verified microvascular injury and myocardial infarct size.早期心电图表现与磁共振成像证实的微血管损伤及心肌梗死面积。

JACC Cardiovasc Imaging. 2009 Oct;2(10):1187-94. doi: 10.1016/j.jcmg.2009.06.008.

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