SPATIAL DISTRIBUTION OF EXERCISE-INDUCED ST-SEGMENT DEPRESSION AND U-WAVE INVERSION IN IDENTIFYING THE ISCHEMIC SITE IN PATIENTS WITH CORONARY ARTERY DISEASE
スポンサーリンク
概要
- 論文の詳細を見る
Eighty-seven unipolar electrocardiograms were simultaneously recorded before and after symptom-limited treadmill exercise in 75 patients with coronary artery narrowing (⩾70%) and without previous myocardial infarction. body surface distributions of ST segment depression were divided into 3 types; upper, lower, and diffuse types. Body surface distributions of U-wave inversion were divided into 2 types; upper, and lower types. These distribution patterns were compared with the location of ischemia determined by T1-201 exercise myocardial perfusion imaging. For ST-segment depression, a considerable number of patients had diffuse-type ST depression, whether the site of ischemia was anterior (22/32, 69%), inferior (18/27, 67%) or both (5/5, 100%). However, upper-type ST depression was associated with anterior ischemia, and lower-type ST depression, with inferior ischemia. The sensitivity and specificity of the spatial distribution of ST depression in identifying the myocardial ischemic site were 27% and 95% for anterior ischemia respectively, and 28% and 88% for inferior ischemia, respectively. The incidence of U-wave inversion was moderate (29/75, 39%), but the distribution pattern was specific for the site of ischemia; upper-type U inversion associated with anterior ischemia, and lower type with inferior ischemia. The sensitivity and specificity were 59% and 100% for anterior ischemia respectively, and 22% and 100% for inferior ischemia respectively. By a combination of ST-depression and U-inversion, the sensitivity and specificity were 78% and 95% for anterior ischemia, and 44% and 88% for inferior ischemia. Body surface electrocardiographic mapping provided important information in the non-invasive diagnosis of the site of myocardial ischemia.
- 社団法人日本循環器学会の論文
- 1989-07-20
著者
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Tsuiki Kai
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Yamaki Michiyasu
Takaha Public Hospital
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Yamaki Michiyasu
Disivion Of Medical Informatics Yamagata University School Of Medicine
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Matsui Motoyuki
Department Of Internal Medicine Okitama Public General Hospital
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Kanaya Tohru
The First Department Of Internal Medicine Yamagata University School Of Medicine
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YAMAKI Michiyasu
The First Dep. of Internal Medicine, Yamagata University School of Medicine
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Ikeda Kozue
The First Department of Internal Medicine, Yamagata University School of Medicine
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Kanaya Toru
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Yasui S
The Department Of Public Health
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Yasui Shoji
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Ikeda Kozue
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Tonooka Ichiro
The First Department of Internal Medicine, Yamagata University School of Medicine
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Meguro Mitsuhiko
The First Department of Internal Medicine Yamagata University School of Medicine
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Yamaguchi Seiji
The First Department Of Internal Medicine Yamagata University School Of Medicine
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MATSUI Motoyuki
Okitama Public General hospital
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Yasui Shoji
The Fiest Department Of Internal Medicene Yamagata University School Of Medicine
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Tuiki Kai
The 1st Dept. of Yamagata University
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NAKAMURA Kazuharu
The First Department of Yamagata University School of Medicine
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Hanashima Kanji
The First Department of Internal Medicine, Yamagata University School of Medicine.
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MATSUI MOTOYOSHI
The First Department of Internal Medicine, Yamagata University School of Medicine
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Nakamura Kazuharu
Department of Internal Medicine, Okitama Public General Hospital
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Tonooka Ichiro
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Ikeda Kozue
The 1st Dept. Of Int. Med. Yamagata Univ. School Of Med.
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Hanashima Kanji
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Konta Tsuyoshi
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Tono-oka Ichiro
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Nakamura Kazuharu
Department Of Internal Medicine Okitama Public General Hospital
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Tsuiki Kai
The 1st Department Of Internal Medicine Yamagata University School Of Medicine
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Meguro Mitsuhiko
The Faculty Of Science And Technology Keio University:(present Address) The University Of Electro-co
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Kanaya Tohru
First Department Of Internal Medicine And Department Of Radiology Yamagata University School Of Medi
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Matsui Motoyuki
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Ikeda Kozue
The First Department Of Internal Medicine And Clinical Laboratory Yamagata University School Of Medi
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Takahashi Keiji
The First Department Of Internal Medicine Yamagata University School Of Medicine
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