T-向量方向区分了后步与缺血T波逆转在前导向中的区别
Alexei Shvilkin1, Kalon K L Ho, Michael R Rosen
1Beth Israel Deaconess Medical Center, Boston, Mass 02215, USA.
Circulation
|February 16, 2005
概括
心脏记忆 (CM) 导致T波逆转模仿缺血. 使用T波模式的新型心电图标准现在可以可靠地区分CM与缺血性T波逆转.
科学领域:
- 心脏病学 心脏病学
- 电心电图是指心电图.
背景情况:
- 后节奏前T波逆转 (TWI),或心脏记忆 (CM),类似于缺血性TWI.
- 目前的心电图标准无法可靠地区分CM和缺血性TWI.
研究的目的:
- 为了确定由右心室节拍诱导的CM是否与缺血性TWI相比表现出明显的TWI模式.
- 开发ECG标准,以区分CM与缺血性TWI.
主要方法:
- 在CM和缺血组之间的鼻腔节律期间,在12导电心电图上比较T波轴,极性和振幅.
- 分析了13名CM患者 (DDD节奏,短AV延迟) 和47名心血管缺血患者.
主要成果:
- 一个特定的ECG发现组合显示出高的诊断准确性.
- 这些标准包括正T{\aVL},正或同电T{\I}和最大前TWI>TWI{\III}).
- 这种组合对CM有92%的敏感性和100%的特异性.
结论:
- 右心室节奏诱导的CM创建了一个独特的T向量图案.
- 这种模式可以有效地区分缺血性TWI,而不管冠状动脉的参与.
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