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心电图多指标诊断冠心病的意义
引用本文:李学文 王克平. 心电图多指标诊断冠心病的意义[J]. 心电学杂志, 1995, 14(3): 143-144
作者姓名:李学文 王克平
作者单位:山西医学院第一附属医院心内科,山西医学院第一附属医院心内科,山西医学院第一附属医院心内科,山西医学院第一附属医院心内科,山西医学院第一附属医院心内科,山西医学院第一附属医院心内科,上海市第六人民医院核医学科 030001山东省立医院心内科,030001山东省立医院心内科,030001山东省立医院心内科,030001山东省立医院心内科,030001山东省立医院心内科,030001山东省立医院心内科
摘    要:
对30例冠心病患者及28例正常对照者进行心电图踏车运动试验,测量ST及非ST参数,结果显示:(1)各指标诊断冠心病的敏感性依次为:ΔQ-Tc(83.3%)、ΔQ(76.7%)、ΔRST及ΔJ-Tc(66.7%)、ΔR(63.3%)、ΣR(56.7%)、ST(50%)、U波倒置(30%);特异性依次为:U波倒置(100%)、ΣR(89.3%)、ST及ΔJ-Tc(82.1%)、ΔR(78.6%)、ΔR

关 键 词:冠心病 心电图 运动试验 多指标诊断

Clinical significance nf Zy . Zy lead in testing ventricular late potential
Liu Yu-hua,Li Ting-qin. Clinical significance nf Zy . Zy lead in testing ventricular late potential[J]. Journal of Electrocardiology(China), 1995, 14(3): 143-144
Authors:Liu Yu-hua  Li Ting-qin
Affiliation:Liu Yu-hua,Li Ting-qin. Department of E-mergency,Yantai Yuhuung Dinn Hospital,Yantai,264000
Abstract:
The results in testing the ventricular late potential (VI.P) in 38 patients with ventricular premature contraction ( VPC) by X.Y,Z orthogonal leads and modified Zv,. Zv lead showed that the positive incidence of VI.P in Zy1 , Zv1 lead was apparently higher than that in X.Y.Z orthogonal leads ( r < 0. 01 ) and the improvement could make up for the in sufficient dilution of VI.P with X.YiZ orthogonal leads. By using Holler recording in 38 patients at the same time. we found the positive VI.Ps in Zv lead correlated with VPC' from the right ventricular origin and the positive VI.Ps in Zv lead correlated with VPC from left ventricular origin. Thus we come to the conclusion ihnt the positive VI.Ps in modified Zv. Zv lead arc higher than that in X, Y. Z orthogonal leads, and the origin of VI.P could be judged. Therefore, it is of significance in estimating the location of pathological changes.
Keywords:ventricular late potential ventricular prr-mature contraction X   Y   Z orthogonal leads
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