在高血压前患者中,QRS-T角度和左心室全球纵向应变之间的关系
Ahmet Özderya1, Ahmet Oğuz Aslan2, Mehmet Ali Maz2
1Department of Cardiology, Trabzon Kanuni Training and Research Hospital, Trabzon, Turkey.
Journal of electrocardiology
|May 9, 2024
概括
电心电图是指心电图.
科学领域:
- 心脏病学 心脏病学
- 心血管成像 - 心血管成像
- 临床电生理学 临床电生理学
背景情况:
- 前高血压是心血管疾病的危险因素.
- 早期发现心脏功能障碍对于高血压前患者至关重要.
- 评估心肌变形可以识别亚临床变化.
研究的目的:
- 为了研究心电图中的QRS-T角度 (QRS-Ta) 与心电图中的左心室全球纵向应变 (LV-GLS) 之间的关联.
- 为了确定QRS-Ta是否可以作为前高血压中心肌应变的非侵入性标记物.
主要方法:
- 分析了300名高血压前患者的队列.
- 根据中位数值,患者被分为上位数 (n=148) 和下位数 (n=152) 的QRS-Ta组.
- 进行了统计分析,包括斯皮尔曼相关性和多变量逻辑回归.
主要成果:
- 左心室全球纵向应变 (LV-GLS) 在超中位 QRS-Ta 组明显较低,相比之下,中位 QRS-Ta 组.
- 在QRS-Ta和LV-GLS之间观察到强烈的相关性 (p < 0.001).
- 在多变量分析中,LV-GLS成为增加QRS-Ta的独立预测因子 (OR:0.365,p=0.009).
结论:
- 在高血压前患者中,QRS-T角度和左心室全球纵向应变之间存在显著的关系.
- QRS-T角,一个简单的心电图参数,可能反映心肌应变受损.
- 这些发现表明QRS-Ta可能是一个有价值的,容易获得的指标,预高血压早期的心脏变化.
更多相关视频
09:05Transthoracic Speckle Tracking Echocardiography for the Quantitative Assessment of Left Ventricular Myocardial Deformation
Published on: October 20, 2016
19.6K
08:10Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
1.7K
相关概念视频
Electrocardiogram
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and the T...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and the T...
Electrocardiogram Fundamentals
Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin to...
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin to...
ECG Interpretation of Rhythms
An electrocardiogram (ECG)graphically represents the heart's electrical activity on ECG paper or a monitor.
Components of the Electrocardiogram
The primary components of a normal ECG waveform in Normal sinus rhythm(NSR) include the P wave, PR interval, QRS complex, ST segment, T wave, and occasionally a U wave.
ECG waveforms are divided by vertical and horizontal lines at standard intervals.
The horizontal axis measures time and rate, and the vertical axis measures amplitude or voltage. When...
Components of the Electrocardiogram
The primary components of a normal ECG waveform in Normal sinus rhythm(NSR) include the P wave, PR interval, QRS complex, ST segment, T wave, and occasionally a U wave.
ECG waveforms are divided by vertical and horizontal lines at standard intervals.
The horizontal axis measures time and rate, and the vertical axis measures amplitude or voltage. When...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
