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低QRS电压 (LQRSV) 的心电图标准应该是针对性别的吗?
Jason V Tso1, Samuel Montalvo1, Jeffrey Christle1
1Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, CA.
American heart journal
|February 11, 2024
概括
低QRS电压 (LQRSV) 在女性运动员中比男性运动员更为普遍. 可能需要新的性别特异性标准来选年轻运动员的心血管疾病,如ARVC.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 电心电图是指心电图.
背景情况:
- 低QRS峰值到nadir电压 (LQRSV) 与心肌病有关.
- 对于运动员而言,现有的LQRSV查标准缺乏对大群体的评估.
研究的目的:
- 在大量年轻运动员中评估拟议的LQRSV查标准.
- 为了确定男性和女性运动员中LQRSV的流行率.
主要方法:
- 分析了2014年至2021年期间选的14-35岁运动员的8679张心电图.
- 排除了具有特定心电图异常或被诊断为心肌病的运动员.
- 应用传统和拟议的LQRSV标准,按性别分层.
主要成果:
- 与男性相比,女性运动员在所有线索上表现出较低的QRS电压.
- 使用索科洛夫-里昂指数,LQRSV的患病率在女性 (9.8%) 显著高于男性 (1.9%).
- 第一个百分位幅度标准表明了潜在的性别特异性查值.
结论:
- 已建立的LQRSV标准确定女性运动员的患病率更高.
- 性别特定的切割点,特别是使用第一个百分位数,需要考虑未来的查协议.
- 针对年轻运动员的新型LQRSV标准应适用于男性和女性.
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