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|本期目录/Table of Contents|

中国不同年龄和性别的健康人心电图T波的特点X(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1999年第3期
页码:
163-168
栏目:
论著
出版日期:
1999-05-01

文章信息/Info

Title:
Electrocardiographic T waves of healthy chinese population with different age and sex
作者:
谢振武　王 成　曹闽京　李茗香　毛定安　李敏能　林 萍
湖南医科大学附属第二医院儿科心血管病研究室 长沙 410011
Author(s):
Xie Zhenwu; Wang Cheng; Cao Minjing; Li Mingxiang; Mao Dingan; Li Minneng; Lin Ping
Lab of pediatric Cardiovascular Disease, Second Affiliated Hospital, Hunan Medical University,Changsha 410011
关键词:
心电描记术;  T波　婴儿　儿童　成年人　老年人
Keywords:
electrocardiography;  T-wave　　infant　children　　adult　　The aged
分类号:
-
DOI:
-
文献标识码:
-
摘要:
4322例从出生到85岁健康人心电图T波纵向研究, 表明心电图T波有显著的年龄和性别差异。从出生到85 岁高龄T波电轴变化,由出生时的左前→右前→ (再)左前→左后→ (再) 左前象限。生儿T波振幅最小,儿童最大, 60岁以上高龄人T波振幅低于青壮年人。T波振幅男大于女在5岁后较明显,男女T波振幅差值胸前导联大于肢导联, 在胸前导联男性T波振幅一般是女性的115倍～2.0 倍。
Abstract:
The electrocardiographic T-waves of 4322 healthy subjects from birth to 85 years of age were longitudinally studied, which showed that the T-waves varied markedly with age and sex. From birth to eigh t-decade the Taxes underwent some shifts which are the left anterior→the right anterior→(again)the left anterior→the left posterior→(again)the left anterior quadrants in the transverse plane.The T-wave amplitude was the smallest in the newborn and was the largest in children. The T-wave amplitude is smaller in those over sixty years of age than in the young and middle aged adults.The T-wave amplitude was larger in male than in female,which was manifest after age of 5 years. The difference in T-wave amplitude between male and female is greater in precardial-lead than in limb-lead. The T-wave amplitude in precardial-lead of male is1.5～2.0 times that of female.

参考文献/References

［1］Cambill CL,Wilkins ML,Haisty WK,et al.T wave amplitudes in normal populations(Variatoin with ECG lead,sex and age).J Electrocardiol, 1995; 28 (3) : 191.

［2］Simonson E. The effect of age on the electrocardiogram. Am J Cardiol, 1972; 29: 64.

［3］Chen CY, Chiang BN , Macfarlane PW. Normal limits of the electrocardiogram in a Chinese population. J Electrocardiol,1989; 22 (1) : 1.

［4］ 谢振武,王 成，龙锦曼,等.围产新生儿T向量环特点及其临床意义.现代儿科杂志,1996;1(1):21.

［5］谢振武.几种常见先心病的心电图及心向量图特点.实用儿科杂志, 1988;3(6):285.

［6］Antelevitch C,Sicouri S,Litovsky SH,et al.Heterogeneity with in the ventricular wall-Electrophysiology and pharmacology of epicardial, endocardial, and Mcells. Circ Res,1991;69(6):1427.

［7］石毓澍,李忠诚,吴健毅,等(著).临床心脏电生理学.第2版.天津:天津科技出版社,1997:15～16.

［8］Friedman WF.Neuropharmacology studies of perinatal myocardium.in:Engle MA(ed).Pediatric Cardiology Vol 4.Philadelphia, F.A.Daris Co.1972:43～57.

［9］Emmanouilides GC,Moss AJ,Adams FH.The electrocardiogram in normal newborn infants:Correlation with hemodynamic observation. J Pediatrics,1965;67(4):578.

［10］谢振武,王 成,龙锦曼, 等.中国健康婴儿、儿童及成年人心电向量图.长沙:湖南科技出版社,1993:182～229.

［11］谢振武,李茗香,郭 青,等.儿童心缩间期正常值及其相关因素分析.湖南医学院学报,1988;13(1):51.

备注/Memo

备注/Memo:
(收稿1997-12-25　修回1999-04-18)ⅹ湖南省卫生厅资助课题
更新日期/Last Update: 1999-05-01