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|本期目录/Table of Contents|

心电图与体表电位标测诊断心肌梗死的对比研究(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2000年第3期
页码:
198-200
栏目:
论著
出版日期:
2000-05-25

文章信息/Info

Title:
Comparative study of electrocardiogram and body surface potential mapping on diagnosing myocardial infarction
作者:
范风云1;  张丙芳1;  臧益民2;  朱妙章2;  贾国良1;  王跃民2
第四军医大学: 1 西京医院, 2 生理学教研室, 陕西西安710033
Author(s):
FAN Feng-yun1;  ZHANG Bing-fang1;  ZANG Yi-min2;  ZHU Miao-zhang2;  JIA Guo-liang1;  WANG Yue-min2
1Xijing Hospital and 2Department of physiology, Fourth Military MedicalUniversity, Xi'an 710032; Shaanxi, China
关键词:
心肌梗死; 心电图; 体表电位标测; 差电位图; 等时图; 峰电位图; 等积分图
Keywords:
myocardial infarction;  electrocardiogram;  body surface potential mapping;  departure maps;  isochrone map;  peak potential map; isointegral map
分类号:
R540.4
DOI:
-
文献标识码:
A
摘要:
目的 比较体表电位标测(BSPM)各种图形与心电图(ECG)诊断心肌梗死(MI) 的敏感性,方法采用BSPM-Ⅲ型体表电位标测微机系统,对42例MI 患者和健康人的体表差电位图、峰电位图、等时间图、等积分图及ECG进行了对比研究。结果 前壁和下壁MI,BSPM各种图形均有典型异常特征,QRS差电位图、峰电位图、Q等时图和等积分图检测MI的敏感性(阳性率)分别为100%,100%,100%和98%,而ECG为81%,差异显著(P＜0.05)。结论 体表差电位图、等时图、峰电位图及等积分图均为诊断MI的敏感指标。
Abstract:
AIM To compare the sensitivity of all maps in body surface potential mapping (BSPM) and electrocardiogram ( ECG) for myocardial infarction (MI). A comparative study was made of departure maps, peak potential map, isochrone map, isointegral map in BSPM and ECG in 42 patients with MI using a BSPM-Ⅲmodel computer system. RESULTS All maps of BSPM in patients with anterior and inferior MI were appeared typical abnormal feature. The positive rates of QRS departure maps, peak potential map, Q isochrone map and isointegral map for detecting MI were 100%,100%,100% and 98% respectively, while that of ECG was 81%. The difference between BSPM and ECG was statistically significant (P＜0.05). CONCLUSION departure maps, isochrone map, peak potential map and isointegral map of BSPM were sensitive indexes for diagnosing MI.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：1999-12-27.
更新日期/Last Update: 2000-05-25