婴儿早期右心室和左心室质量发展:心电图变化与心声图测量结果的相关性
James J Joyce1, Ning Qi2, Ruey-Kang Chang2
1Division of Pediatric Cardiology, Department of Pediatrics, David Geffen School of Medicine at UCLA, Harbor-UCLA Medical Center and The Lundquist Institute, Torrance, CA, USA; Division of Pediatric Cardiology, Wolfson Children's Hospital, Jacksonville, FL, USA.
Journal of electrocardiology
|September 2, 2023
概括
婴儿心脏质量变化,特别是右心室质量按身体表面积指数 (RVMI) 减少和左心室质量指数 (LVMI) 增加,与心电图变化相关. 这些发现将心脏结构变化与早期发育期间的电活动联系起来.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心脏生理学 心脏生理学
- 新生儿健康 新生儿健康
背景情况:
- 婴儿期涉及到右心室质量与身体表面积 (RVMI) 和左心室质量指数 (LVMI) 的快速变化.
- 这些心室质量转换与婴儿早期心电图 (ECG) 变化之间的联系尚不清楚.
研究的目的:
- 为了研究心室质量变化和正常期婴儿心电图参数之间的关系.
- 确定RVMI下降和LVMI增加如何与特定的ECG电压和轴测量相关.
主要方法:
- 对45名2天,2周,2个月和4个月的正常期婴儿进行前性评估.
- 使用2D心声回声学估计心室质量.
- 在特定的心电图导线 (V1,V6,I,aVF) 中测量QRS电压.
主要成果:
- QRS轴发生了显著的转移,与RVMI下降和LVMI增加相关.
- RVMI的下降与特定的QRS电压相关 (V1R,V6S,V1R + V6S).
- LVMI的增加与其他QRS电压相关 (V6R,V6R-S,V6(Q+R) -S).
结论:
- 婴儿早期RVMI的下降与QRS轴移和V1R + V6S电压密切相关.
- LVMI的增加与V6R-S和V6(Q+R) -S电压有很强的相关性.
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