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70岁以上健康老年人右胸及后壁导联心电图特点分析
引用本文:亓鹏,胡亦新,董宏艳,李力,王斌,赵敏,马慧珍,郑溪兰,杜双双. 70岁以上健康老年人右胸及后壁导联心电图特点分析[J]. 中华老年心脑血管病杂志, 2008, 10(9): 657-659
作者姓名:亓鹏  胡亦新  董宏艳  李力  王斌  赵敏  马慧珍  郑溪兰  杜双双
作者单位:解放军第三○六医院干部病房,北京,100101
摘    要:目的研究70岁以上健康老年人右胸及后壁导联心电图特点。方法对212例70岁以上健康老年人右胸及后壁导联的P波、QRS波及ST段进行形态观察及测量分析。结果(1)右胸导联rS波形检出率为31.1%~58.1%;QS波形检出率为14.0%~23.3%;V4R导联(QS波除外)、V5R导联各波振幅低于V3R导联(P<0.05);(2)后壁V7~V9导联qR波形检出率为50.0%~87.7%;R波形检出率为7.1%~34.9%;与V7导联比较,V8、V9导联qR波形的出现率递增,R波形出现率及R波振幅均呈现递减(P<0.05);(3)ST段:V3R~V5R导联97.5%~98.9%位于等电位线;V7~V9导联97.2%~98.5%位于等电位线;极少数抬高者幅度<0.05mV,无ST段下降;(4)T波:V3R~V5R导联61.3%~79.2%为平坦,21.8%~25.8%为倒置;V7~V9导联45.1%~78.5%为平坦,20.0%~53.7%为直立。结论建立70岁以上老年人右胸及后壁导联心电图的诊断标准具有实际的临床意义。

关 键 词:心电描记术  心肌梗塞  健康状况  右胸导联  后壁导联

Electrocardiogram characteristics of right and posterior chest leads in healthy old people
QI Peng,HU Yi-xin,DONG Hong-yan,et al. Electrocardiogram characteristics of right and posterior chest leads in healthy old people[J]. Chinese Journal of Geriatric Cardiovascular and Cerebrovascular Diseases, 2008, 10(9): 657-659
Authors:QI Peng  HU Yi-xin  DONG Hong-yan  et al
Affiliation:QI Peng,HU Yi-xin,DONG Hong-yan,et al(Department of Geriatrics,306 PLA Hospital,Beijing 100101,China)
Abstract:Objective To study electrocardiogram characteristics of right and posterior chest leads in healthy old people over 70 years.Methods Electrocardiograms of V3R to V5R and V7 to V9 leads were taken from 212 healthy old people over 70 years.P waves,QRS waves,ST segment and T waves were measured and analyzed.Results(1)From V3R to V5R leads,rS wave was found in 31.1%-58.1%;QS wave was found in 14.0%-23.3%.The voltage of QRS wave was lower in V4R and V5R than in V3R leads(P<0.05).(2)From V7 to V9 leads,qR wave was...
Keywords:electrocardiography  myocardial infarction  health status  right chest leads  posterior chest leads  
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