期刊文献+

心肌梗死患者T波峰-末间期等复极参数的立体心电向量评价 被引量:3

Measurement of Tpeak-tend interval and other depolarization data by 3-dimension vectrocardiography in myocardial infarction patients
暂未订购
导出
摘要 目的应用立体心电向量(3D-VCG)技术,对正常人和心肌梗死患者的T波峰-末间期(Tp-Te)及其他复极参数进行对比研究。方法采用3D-VCG技术,分别测量109例心肌梗死和116例正常人的Tp-Te、T环总时间和T环最大振幅参数,比较组间差异性。结果心肌梗死组Tp-Te较正常组显著延长[(114.26±27.54)ms vs(100.40±13.61)ms,P<0.05)],T环总时间两组差异不大[(238.70±40.20)ms vs(241.00±38.25)ms,P>0.05],而心肌梗死组T环最大振幅显著减小[(0.39±0.17)mV vs(0.64±0.23)mV,P<0.001]。结论 3D-VCG显示心肌梗死患者复极参数异常,Tp-Te延长提示其跨室壁复极离散度增加。 Objective To compare the Tpeak-tend interval(Tp-Te) and other depolarization data measured by 3-dimension vectrocardiography(3-D VCG) between normal person and myocardial infarction(MI) patients.Methods 3-D VCG technology was adopted,and depolarization data of Tp-Te,total T time and max T volume were collected in 109 patients with MI(MI group) and 116 normal person(normal group).Data of the two groups were compared statistically.Results Tp-Te was significant longer in the MI group than that in the normal group [(114.26±27.54) ms vs(100.40±13.61) ms,P 0.05];no statistical difference in total T time between the two groups [(238.70±40.20) ms vs(241.00±38.25) ms,P0.05];while max T volume was significant lower in the MI group than that in the normal group [(0.39±0.17) mV vs(0.64±0.23) mV,P 0.001).Conclusion MI patients present abnormal depolalization indexes in 3-D VCG measurement,longer Tp-Te indicates that transwall depolalization viariation increased.
出处 《中国医药导报》 CAS 2012年第17期80-81,84,共3页 China Medical Herald
基金 卫生部科技中心"立体心电图技术在心肌缺血临床诊断中的应用"专项课题(W201002)
关键词 T波峰-末间期 立体心电向量 心肌梗死 心室复极 Tpeak-tend interval 3-Dimension vectrocardiography Myocardio infarction Ventrical depolalization.
  • 相关文献

参考文献10

  • 1程宏勇,张钲.心电图T波峰-末间期及临床应用[J].临床心电学杂志,2006,15(3):207-209. 被引量:35
  • 2Xia Y,Liang Y,Kongstad O,et al. Tpeak-Tend interval as an index of global dispersion of ventricular repolarization :evaluation using monophasic action potential mapping of the epi-and endocardiun in swine [J]. J Interv Card Electrophysiol,2005,14 (2) : 79-87.
  • 3Yan GX,Antzelevitch C. Cellular basis for the normal T wave and the electrocardiographic mamifestations of the long-QT syndrome [J]. Circulation, 1998,98(18) : 1928-1936.
  • 4Antzelevitch C,Oliva A. Amplification of spatial dispersion of repolarization underlies sudden cardiac death associated with catecholaminergic polymorphic VT,long QT,short QT and Brugada syndromes [J]. J Intern Med ,2006,259( 1 ) :48-58.
  • 5Watanabe N,Kobayashi Y,Tanno K,et al. Transmural dispersion of repolarization and ventricular tachyarrhythmias [J]. Z Electrocardiol,2004,37(3):191-200.
  • 6Castro HJ,Antzelevitch C ,Tomes BF,et al. Tpeak-Tend and Tpeak- Tend dispersion as risk factors for ventrieular taehycardia/ventricular fibrillation in patients with the Brugada syndrome [J]. J Am Coil Cardiol, 2006,47(9) : 1828-1834.
  • 7Shimizu W,Noda T,Takaki H,et al.Epinephrine unmasks latent mutation carriers with LQTI form of congenital long-QT syndrome [J]. J Am Coll Cardio1,2003,41 (4) :633-642.
  • 8何秉贤.述评:再论心电向量图临床应用的价值及现状[J].临床心电学杂志,2009,18(2):83-85. 被引量:13
  • 9赵峰,杨红,段春和.立体心电图的临床应用[J].中华心血管病杂志,1998,26(6):479-481. 被引量:11
  • 10崔超英,杨鹏,范书英,杜英,王勇.立体心电向量图对心肌梗死病变血管定位的价值[J].中国心血管杂志,2011,16(2):109-111. 被引量:9

二级参考文献24

  • 1程宏勇,张钲,白锋,杨彩兰,朱惠.室速发作与T波峰-末间期的关系[J].临床心电学杂志,2006,15(1):16-18. 被引量:26
  • 2王立群.梗死相关动脉的心电图分析[J].临床心电学杂志,2006,15(3):166-168. 被引量:10
  • 3Kosuge M,Kimura,Ishikawa T, et al. New electrocardiographic crite,ia for predicting the site of coronary artery occlusion in inferior wall acute myocardial infarction. Am J Cardiol, 1998, 82 : 1318-1322.
  • 4Parker AB,Waller BF, Gering LE,et al. Usefulness of the 12-lead Electrocardiogram in detection of Myocardial infarction: eleetrocardiographie-anatomie eorrelation-Part Ⅱ. Clin Cardiol, 1996, 19:141-148.
  • 5Birbaum Y, Chetrit A, Sclarovsky S, et al. Abnormal Q waves on the admission electrocardiogram of patients with first acute myocardial infatxction: prognostic implications. Clin Cardi01, 1997, 20:472.
  • 6Juhlin P, Bostrom PA, Hansen O, et al. Continuous vectorcardiographic changes in relation to scintigraphic signs of reperfusion in patients with acute myocardioinfarction receiving thrombolytic therapy. J Intern Med, 1996, 239:3541.
  • 7马向荣,临床心电学杂志,1995年,增刊,36页
  • 8孙瑞龙,临床心电学杂志,1995年,增刊,4页
  • 9郭志坤,心脏组织学图谱,1995年,82页
  • 10赵峰,中华心血管病杂志,1991年,19卷,191页

共引文献62

同被引文献20

引证文献3

二级引证文献13

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部