首都医科大学学报 ›› 1999, Vol. 20 ›› Issue (3): 181-183.

• 论著 • 上一篇    下一篇

80例正常人体表标测Q-Tdp的观察

杨舒玲, 许俊堂, 肖洁, 李俊华   

  1. 首都医科大学附属北京红十字朝阳医院心内科
  • 收稿日期:1998-06-22 修回日期:1900-01-01 出版日期:1999-07-15 发布日期:1999-07-15

Observational Studies on Q-Tdp by Body Surface Potential Mapping in 80 Normal Individuals

Yang Shuling, Xu Juntang, Xiao Jie, Li Junhua   

  1. The Heart Center, Beijing Red Cross Chaoyang Hospital, Affiliate of Capital University of Medical Sciences
  • Received:1998-06-22 Revised:1900-01-01 Online:1999-07-15 Published:1999-07-15

摘要: 采用91导联体表电位标测法(BSPM)观察80例正常人Q-Tdp(Q波起点到T波峰值间期的离散度),与同步12导联心电图Q-T离散度(Q-Td)对照,探讨BSPM条件下测定Q-Td的可行性。结果:① Q-Tp、Q-Tdp、Q-Tc1dp(Bazzett公式校正)、Q-Tc2dp(Fridercia公式校正)分别为(292.69±37.75) ms、(36.77±7.40) ms、(40.23±9.04) ms和(40.11±7.73) ms;②Q-Tdp与Q-Td、Q-Tc1dp与Q-Tc1d、Q-Tc2dp与Q-Tc2d有良好的相关性;③3个年龄组(18~35岁、36~60岁、61~70岁)各参数间无显著性差异;④Q-Tp女性明显大于男性(P<0.05),其余各值男女性之间均无显著性差异。提示:BSPM测定 Q-Tdp简便可行、较为准确,正常值可暂定为52 ms。

关键词: 体表心电标测, Q-Tp间期, Q-Tp离散度, 正常人

Abstract: To evaluate the feasibility of Q-Td measurements under circumstances of body surface potential mapping(BSPM), QTdp(dispersion of interval of Q-wave onset to T-wave peak) was observed by using a computerized automatic mapping system in 80 normal individuals. The findings were compared with the 12-lead Q-Td(the dispersion of Q-T interval). It was shown that: ① Q-Tp, Q-Tdp, Q-Tc1dp(corrected by Bazzett formula) and Q-Tc2dp(corrected by Fridercia formula) were (292.69±37.75) ms, (36.77±7.40) ms, (40.23±9.04) ms and (40.11±7.73) ms respectively. ② Q-Td and Q-Tc measured by BSPM and 12-lead ECG correlated well each other. ③ The differences of above parameters between three age groups(18~35 years, 36~60 years and 61~70 years) were not significant. ④ Q-Tp of female was longer than that of male(P<0.05), no significant difference was found in other parameters. In conclusion, Q-Tdp measurement by BSPM might be more accurate and reliable than 12-lead ECG. The normal value of Q-Tdp was less than 52 ms in this study.

Key words: body surface potential mapping, Q-Tp interval, Q-Tp interval dispersion, normal individuals

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