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[心脏病学的新数据:心脏的电荷]

[New data in cardiology: the electric charge of the heart].

作者信息

Cousin J M

出版信息

Ann Cardiol Angeiol (Paris). 1994 Jun;43(6):335-43.

PMID:8085773
Abstract

This study emerging from profound consideration of the basis of vectorcardiography reveals a new electric model of the heart, the starting point for a computer programme of which only the principle is described. Noting inadequacies of vectorcardiography linked to necessary but possibly excessive simplifications, the author suggests a solution based only on Einthoven's postulate of a single dipole: at each instant during the cardiac revolution, the positions of point N, the centre of negative charges and origin of the dipole, of point P, the centre of positive charges and extremity of the dipole, and the value of the load borne by this dipole are calculated. The classical orientations of septal, parietal and basal vectors are thus found. It is shown that electric charge follows a bell-shaped curve and that the velocity of the dipole is compatible with that of the depolarisation wave, in contrast to velocities given by vectorcardiography. The trajectory of the dipole, a veritable "dipologram" visualises breaks in continuity which are interpreted. This new method has the advantage of being entirely confirmable: the dipole provided by the programme enables the calculation of potentials. Comparison between measured potentials and calculated potentials ensures the reliability of results provided by this programme. This method is totally in contrast with conventional vectorcardiography: the dipole is entirely mobile regarding both its origin and extremity, its site in the thorax is precisely identified, and its length is calculated, together with its velocity and the charge which it carries.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

这项源于对心电向量图基础进行深入思考的研究揭示了一种新的心脏电模型,这是一个计算机程序的起点,文中仅描述了该程序的原理。作者注意到心电向量图存在一些不足之处,这些不足与必要但可能过度的简化有关,于是提出了一种仅基于单偶极子的艾因托芬假设的解决方案:在心脏搏动的每个瞬间,计算负电荷中心N点(即偶极子的原点)、正电荷中心P点(即偶极子的末端)的位置,以及该偶极子所携带电荷的值。由此得出了间隔、壁和基底向量的经典方向。结果表明,电荷呈钟形曲线,并且偶极子的速度与去极化波的速度相符,这与心电向量图给出的速度不同。偶极子的轨迹,即一个名副其实的“偶极图”,直观地显示出连续性的中断并对此进行了解释。这种新方法的优点是完全可验证:程序提供的偶极子能够用于计算电位。测量电位与计算电位之间的比较确保了该程序所提供结果的可靠性。这种方法与传统的心电向量图完全不同:偶极子在其原点和末端都是完全可移动的,其在胸腔中的位置能够精确确定,其长度、速度以及所携带的电荷均可计算出来。(摘要截选至250词)

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