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经食管心房调搏分级心向量图负荷试验的方法学研究及诊断标准探讨 被引量:2

A Study of Vectorcardiographic Load Test via Transesophageal Atrial Pacing and Diagnostic Criteria
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摘要 对67例冠心病患者及45例正常人进行经食管心房调搏分级心向量图负荷试验。结果发现,负荷后T向量、T长/宽、R向量/T向量的阳性改变对诊断冠心病有重要的临床价值,而ST向量、T环转向异常及T环等速运动等,虽特异性很高,但敏感性较低;并据此提出试验的诊断标准。 Sixty-seven patients with coronary heart disease and forty-five normal subjects were studied by vectorcardiographic load test via transesophageal atrial pacing. The results showed that sensitivity of the test was significantly higher than that of bicycle ergometer test. The changes of T vector,reduction of the ratio between length and width of T vector and increase of the ratio between R vector and T vector had important value in diagnosis of coronary heart disease, and the specificity of ST vector, abnormal turning of T loop and equal speed circulation of T loop was high but the sensitivity was low in diagnosis. The diagnostic criteria of the test were suggested.
机构地区 贵州省人民医院
出处 《心电学杂志》 1990年第1期2-5,共4页 Journal of Electrocardiology(China)
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同被引文献8

  • 1周宗梅,刘伯坤.经食管心房调搏诊断房室传导的裂隙现象[J].临床心血管病杂志,1989,5(4):221-223. 被引量:1
  • 2黄振文.实用心脏病学[M].北京:中国医药科技出版社,1990,145.
  • 3宿清和.经食道短阵超速起搏对快速室上性心律失常治疗效果的分析[J]中国急救医学,1988(05).
  • 4苏庆立,金英兰,姚淑兰,齐向前,李庆喜,汪小琴,胡惠.食管心房调搏加速心率作为心负荷试验50例报告[J]河北医药,1987(01).
  • 5葛蕊华,景炳文,杨兴易,吴玉祥.应用经食管程控心电刺激仪防治心脏插管中的难治性室上速[J]上海医学,1986(09).
  • 6倪裕国.经食道心房调搏测定窦房结恢复时间的临床应用[J]江苏医药,1982(07).
  • 7陈福华,方秀英,汪康平,王立志,孙友发,蔡娅,夏承斋,蒋文平,熊重廉,方祖祥,朱道程.经食道心房调搏的临床应用[J]江苏医药,1982(04).
  • 8邓昭文,黄自珍,梁耀荣,熊琼玛.食管心房调搏对96例阵发性室上速诱发及终止作用的研究[J].心电学杂志,1990,9(1):52-54. 被引量:11

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