| 头胸导联对右胸导联Q波意义的判别作用 |
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| 引用本文： | 陈庆璋 王根娣. 头胸导联对右胸导联Q波意义的判别作用[J]. 心电学杂志, 1994, 13(1): 5-7 |
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| 作者姓名： | 陈庆璋 王根娣 |
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| 作者单位： | 上海市心血管病研究所 200032(陈庆璋，陈美芳，袁爱娜，赵惠阳，朱仪，王根娣，刘军，李景霞)，上海市心血管病研究所 200032(诸骏仁) |
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| 摘 要： | 对２９例常规Ｖ１导联中有Ｑ（ｑ）波者，以核素检查结果为标准化较常规导联Ｖ１，头胸导联ＨＶ１及心向量图在上术判别中的价值。结果发现与核素结果相比符合率以ＶＣＧ－Ｚ轴为最高（９０％），ＨＶ１次之（６９％），Ｖ１最低（４８％），特异性以ＶＣＧ－Ｚ轴最高（８８％），ＨＶ１次之（７１％），Ｖ１（２４％）最低。研究认为在判别右胸导联Ｑ波意义上，ＨＶ１导联比Ｖ１导联为优，在诊断病理性Ｑ波上有较大意义。
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| 关 键 词： | 头胸导联 Q波 前间隔 心电图 |
Heat-Chest Lead in Defining the Significance of Q Waves in Conventional Right Chest Lead |
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| Chen Qing-zhang,Chen Mei-fang,Yuan Ai-na,et al.. Heat-Chest Lead in Defining the Significance of Q Waves in Conventional Right Chest Lead[J]. Journal of Electrocardiology(China), 1994, 13(1): 5-7 |
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| Authors: | Chen Qing-zhang Chen Mei-fang Yuan Ai-na et al. |
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| Affiliation: | Chen Qing-zhang,Chen Mei-fang,Yuan Ai-na,et al.Shanghai Institute of Cardiovascular Diseases,Shanghai,200032 |
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| Abstract: | Utilizing the results of nuclear cardiology as gold criterion, we evaluated the values oflead V1 of electrocardiogram (V1), head-chest lead V1(HV1) and vectorcardiogram (VCG) in distinguishing the significance of Q wave in 29 patients with Q or q wave in lead V1 of electrocardiogram.According to the gold criterion, the accuracies of VCG lead Z, HV1 and V1 were 90% , 69% and 48%respectively. Specificity of VCG lead Z, HV1 and V1 were 88%, 71% and 24% respectively. Resultindicated that head-chest lead V1 was better than conventional lead V1 in diagnosing pathological Q wave |
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| Keywords: | head-chest lead Q wave anteroseptal electrocardiogram |
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