Tベクトル方向は,前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭前頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭後頭
Alexei Shvilkin1, Kalon K L Ho, Michael R Rosen
1Beth Israel Deaconess Medical Center, Boston, Mass 02215, USA.
Circulation
|February 16, 2005
まとめ
心臓記憶 (CM) は,T波の逆転を模倣したイシュケミアを引き起こします. T波パターンを用いた新しいEKG基準により,現在では,CMとT波逆転の不血症を確実に区別することができる.
科学分野:
- 心臓病学 心臓病学
- エレクトロカーディオグラフィーです.
背景:
- ポストパッシング前立のT波逆転 (TWI) または心臓記憶 (CM) は,不全性TWIに似ています.
- 現在のEKG基準では,CMと不全性TWIを確実に区別することはできません.
研究 の 目的:
- 右心室のペースによって誘発されたCMが,不全性TWIと比較して明確なTWIパターンを示すかどうかを判断する.
- CMとイシュケミアのTWIを区別するためのECG基準を開発する.
主な方法:
- CMと不血症のグループ間のシヌスリズム中の12リードECGのT波軸,極性,振幅を比較した.
- CM (DDDペース,短いAV遅延) を有する13人の患者と,先頭部TWIを患っている47人の不血症患者の分析を行った.
主要な成果:
- ECGの発見の特定の組み合わせは,高い診断精度を示しました.
- 基準には,陽性T{\aVL},陽性または同電性T{\I},最大先端TWI>TWI{\III}が含まれていた.
- この組み合わせは,CMに対して92%の感度と100%の特異性を示した.
結論:
- 右心室のペースが誘発したCMは,ユニークなTベクトルパターンを生み出します.
- このパターンは,冠動脈関わりに関係なく,不全性TWIから効果的な差別を可能にします.
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