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扩张型心肌病伴心衰患者跨壁复极离散度分析 被引量：3

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摘要 目的:探讨扩张型心肌病患者体表心电图QT间期、QTpeak、Tp-e(从T波顶点向等电位线作垂线的交点到T波终点的时限)的变化,探讨其可能的临床意义。方法:依据病史、症状、体征、X线及心脏超声,入选扩张型心肌病,心功能均为～级(NHYA分级)的患者72例;对照组为同期门诊健康查体者共有65例。行常规十二导联心电图检查,测量QT间期、QTpeak与Tp-e,采用Bazzett′s校正公式QTc=QT/RR1/2,QTpeakc=QTpeak/RR1/2,T(p-e)c=QTc-QTpeakc得出QTc、T(p-e)c及T(p-e)c/QTc值。Tp-e是目前唯一可从心电图间接反应TDR的指标。结果:与健康对照组比较,扩张型心肌病患者十二导联心电图QTc、T(p-e)c(TDR)及T(p-e)c/QTc明显增大。结论:扩张型心肌病患者QTc、T(p-e)c及T(p-e)c/QTc增加。
作者 师军峰 袁祖贻
机构地区 西安交通大学医学院 西安交通大学医学院第一附属医院心内科
出处 《陕西医学杂志》 CAS 2011年第11期1503-1504,共2页 Shaanxi Medical Journal
关键词 心肌疾病/心电描记术 心力衰竭 @离数度
分类号 R541.6 [医药卫生—心血管疾病]
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参考文献7

  • 1Antzelevitch C. T peak-T end interval as an index of transmural dispersion of repolarization [J]. Eur J Clin Invest, 2001,31 (2) : 555-560.
  • 2Yan GX, Wu Y , Liu T , et al. Phase 2 early afterdepolarization as a trigger of polymorphic ventricular tachycardia in acquired long-QT syndrome: direct evidence from intraeellular recordings in the intact left ventricular wall[J]. Circulation, 2001,103 (8) : 2851- 2859.
  • 3Yan GX, Rials SJ, Wu Y,et al. Ventricular hypertrophy amplifies transmural repolarization dispersion and induces early afterdepolarization[J]. Am J Physiol Heart Circ Physio, 2001,281 (4) : 1968-1987.
  • 4Anyukhovsky EP,Sosunov EA,Gainullin RZ, et al. The controversial M cell [J]. J Cardiovasc Eleetrophysiol, 1999,10(5) :244-250.
  • 5Yan GX,Antzelevitch C. Cellular basis for the normal T wave and the electrocardiographic manifestations of the long-QT syndrome [J]. Circulation, 1998,98 (11 ) : 1928- 1936.
  • 6James PR, Taggart P, Mc sychological stress and the arrhythmias; evidence for a Eur Heart J, 2000, 21 (12) Nally ST, et al. Acute p p ropensity to ventricular linking mechanism [ J ] : 1023.
  • 7Liu TX, Brown BS, Antzelevitch C, et al. Blinded validation of the isolated arterially perfused rabbit ventricularwedge in preclinical assessment of drug- induced proarrhythmias [ J ]. Heart Rhythm,2006, 3: 948.

同被引文献18

  • 1石亮,杨新春,刘秀兰,孔强,宗敏,丁怀玉,孙继明.短QT间期发生室性心律失常的电生理机制探讨[J].中国心脏起搏与心电生理杂志,2006,20(2):117-120. 被引量：6
  • 2Rao HB, Krishnaswami R, Kaladakolanu S, et al. Ven-trieular dyssynchrony patterns in left bundle branch blockwith and without heart failure [J], Indian Pacing Electro-physid J,2010,10:115-121.
  • 3Xue J,Chen Y, Han X,et al. Electrocardiographic mor-phology changes with different type of repolarizationdispersions[J]. J Electrocardiol,2010,43(6) :553-559.
  • 4Bjerregaard P,Nallapaneni H,Gussak I. Short QT in-terval in clinical practice[J]. J Electrocardiol, 2010, 43(5):390-395.
  • 5Tops LF, Schalij MJ , Holman ER,et al. Right ventricu-lar pacing can induce ventricular dyssynchrony in patientswith atrial fibrillation after atrioventricular node ablation [J]. J Am Coll Cardiol, 2006,48 (8) : 1642 - 1648.
  • 6Nahlawi M,Waligora M,Spies SM, et al. Left ventricu-lar function during and after right ventricular pacing [J].J Am Coll Cardiol,2004,44 (9) : 1883 - 1888.
  • 7Vlay SC. Right ventricular outflow tract pacing: practicaland beneficial a -9year experience of 460 consecutive im-plants [J]. Pacing Clin ElectrophysioU 2006,29 (10);1055 - 1062.
  • 8Victor F,Mabo P,Mansour H, et al. A randomizedcomparison of permanent septal versus apical right ventric-ular pacing: short-term results[J]. J Cardiovasc Electro-physioU 2006,17 (3) : 238 - 242.
  • 9Schwaab B, Frohlig G,Alexander C, et al, Influence ofright ventricular stimulation site on left ventricular func-tion in atrial synchronous ventricular pacing [J]. J AmColl Cardiol, 1999 ,33(2) : 317-323.
  • 10Antzelevitch C,Oliva A. Amplification of spatial dispersionof repolarization underlies sudden cardiac death associatedwith cate cholaminergie polyinorphic VT. long QT,shortQT and Brugada syndromes [J]. J Intern Med, 2006,259.1):48-58.

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陕西医学杂志
2011年 第11期

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