THE QRS COMPLEX OF THE STANDARD 12-LEAD ELECTROCARDIOGRAMIN SEPTAL MYOCARDIAL INFARCTION
スポンサーリンク
概要
- 論文の詳細を見る
Interventricular septal involvement in myocardial infarction is suggested by the findings of a QS deflection in lead V_1 and/or absence of the Q wave in leads I and V_6, using the standard 12-lead electrocardiogram (ECG). However, these findings were not sufficiently established for the criteria of septal infarction, because several factors including anatomic position of the heart, changes of intraventricular conduction, and condition of the lung would affect the QRS complex in the leads. In this study, we analyzed the ECGs of anterior myocardial infarction with (group A) and without (group B) involvement of the first septal coronary artery. The R wave in V_1 was absent in 64.7% of group A and 60.0% of group B. The Q wave was absent in 35.3% in lead I and 64.7% in lead V_6 of group A, while in group B the Q wave in leads I and V_6 were not observed in 60.0% and 40.0%, respectively. The prevalence rates of the R wave and the Q wave in these leads were not significantly different between the two groups. Left ventriculography revealed that the prevalence rate of the R wave in V_1, and the Q wave in I and V_6 was not significantly different, regardless of the presence or absence of impaired septal motion. Experimental study in anesthetized dogs confirmed the difficulty in claritying acute septal ischemia by changes in the QRS complex. These results indicate that septal myocardial infarction is hardly detectable with changes in the QRS complex of the standard 12-lead electrocardiogram.
- 社団法人日本循環器学会の論文
- 1988-11-20
著者
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Watanabe Hirofumi
The First Depertment Of Internal Medicine Okayama University Medical School
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Hina Kazuyoshi
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
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SAITO DAIJI
The First Depertment of Internal Medicine, Okayama University Medical School
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YAMADA NOBUYUKI
The First Depertment of Internal Medicine, Okayama University Medical School
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UEEDA MASAYUKI
The First Depertment of Internal Medicine, Okayama University Medical School
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MIMA TSUTOMU
The First Depertment of Internal Medicine, Okayama University Medical School
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TSUJI TAKAO
The First Depertment of Internal Medicine, Okayama University Medical School
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Hina Kazuyoshi
The First Department of Internal Medicine, Okayama University Medical School
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Haraoka Shoichi
The First Department of Internal Medicine, Okayama University Medical School
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YOSHIDA HIDENORI
The First Department of Internal Medicine, Okayama University Medical School
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Saito Daiji
The Department Of Cardiovascular Medicine Okayama University Medical School
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Saito Daiji
Iwakuni National Hospital
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Saito Daiji
The First Department Of Internal Medicine Okayama University Medical School
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Saito Daiji
The Department Of Laboratory Medicine
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Mima Tsutomu
The Center Laboratories Of Okayama University Medical School
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Hina Kazuyoshi
The First Department Of Internal Medicine Okayama University Medical School
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Ueeda Masayuki
The First Depertment Of Internal Medicine Okayama University Medical School
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Yonahara Nobuhiko
The 1st Department Of Internal Medicine Okayama University Medical School
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Saito Daiji
Department Of Cardiovascular Medicine Okayama University
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Yoshida Hidenori
Central Laboratory of Okayama University Medical School
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Yoshida Hidenori
The Central Laboratory of Okayama University Medical School
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Haraoka Shoichi
The Central Laboratory of Okayama University Medical School
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Yamada Nobuyuki
The Department Of Cardiology Fukuyama Municipal Hospital
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Haraoka Shoichi
The Department Of Cardiovascular Medicine Okayama University Medical School
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Haraoka Shoichi
The First Department Of Internal Medicine Okayama University Medical School
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Hirano Kazuhiro
The 1st Department of lnternal Medicine Okayama University Medical School
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Haraoka Shoichi
1st Dept. Of Intern. Med. Okayama Univ. Med. School
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Haraoka Shoichi
Center Labor. Okayama Univ. School Of Med.
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Yoshida Hidenori
Dept. Of Laboratory Medicine Okayama University Medical School
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Tsuji Takao
The First Depertment Of Internal Medicine Okayama University Medical School
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Tsuji Takao
The First Department Of Internal Medicine
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Saito Daiji
1st Dept. Intern. Med. Okayama Univ. School Of Med.
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Hina Kazumasa
Cardiovascular Medicine The Sakakibara Heart Institute Of Okayama
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Yamada Nobuyuki
The First Department Of Internal Medicine Okayama University Medical School
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Saitio Daiji
岡山大学 循環器内科
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Saito Daiji
First Department Of Internal Medicine Okayama University Medical School
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Yoshida Hiroyuki
The First Department Of Internal Medicine Okayama University Medical School
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Haraoka Shoichi
Dept. Of Intern. Med. Okayama Univ. Med. School
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Yonahara Nobuhiko
1st Dept Of Intern. Med. Okayama Univ. School Of Med.:central Laboratory Okayama Univ. School Of Med
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Hina Kazumasa
First Department Of Internal Medicine Okayama University Medical School
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Yonahara Nobuhiko
1st Dept Of Intern. Med. Okayama Univ. School Of Med.:central Laboratory Okayama Univ. School Of Med.:sakakibara Jyuzen Hospital
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