Comparative Studies on Electrocardiographic and Pathological Anatomic Findings of Ventricular Hypertrophy and Dilatation
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1. Out of the cases went under autopsy during the period of 1958-1964 at 3rd Medical Clinic of Kyoto University Hospital 36 cases were studied. Macroscopic pathological findings of hearts (cardiac weight, ventricular wall thickness, ventricular volume, ventricular septum position) and its electrocardiographic findings, especially R wave height at V_2 and V_5 (RV_1, RV_5); ventricular activation time (VATV_1, VATV_5), S wave depth at V_1 (SV_1), QRS axis, and QRS transitional zone (T. Z.) are studied in comparison, and the following results are obtained. 2. Immediately after death punctuation was made from body surface with a long needle at electrocardiographic standard chest lead points V_1-V_6. After the chest was opened corresponding points on the surface of heart were decided. Electrocardiographic pattern at each lead point and location of various parts of heart were examined in its relation, especially QRS transitional zone was defined in relation with ventricular septum position. 3. On the basis of cardiac weight and ventricular wall thickness, all cases were divided into normal group, right ventricular hypertrophy group, left ventricular hypertrophy group, and combined ventricular hypertrophy group, and the correlation between T.Z. and ventricular wall thickness and ventricular volume (expressed with the ratio of each ventricular volume against the sum of both left and right ventricular volume). 4. As to the relation of standard chest lead points of electrocardiogram (V_1-V_6) and the position of anatomical longitudinal axis of heart, V_1 and V_2 are mainly at lower part under longitudinal axis, V_3 and V_4 are mainly at longitudinal axis and V_5 and V_6 are mainly upper part of above longitudinal axis. As regards the relation of the position between each lead point and the parts of heart were: V_1 was at right auricle and V_2 in most cases at right ventricle excepting a few at right auriele, V_3 mostly at right ventricle, V_4 as both right and left ventricles containing ventricular septum in the middle, V_5 and V_6 is at left ventricles.
- 社団法人日本循環器学会の論文
- 1969-03-20
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