VECTORCARDIOGRAPHIC CRITERIA FOR DIAGNOSIS OF HIGH LATERAL INFARCTION : Supplement for Chou's Criteria
スポンサーリンク
概要
- 論文の詳細を見る
The concept of high lateral myocardial infarction (HLMI) has not been clearly defined, so criteria for its vectorcardiographic (VCG) diagnosis have had no firm basis. However, we have reported that HLMI, expressed as abnormal Q waves in lead aVL on the electrocardiogram, corresponds to necrosis of the area usually supplied by the diagonal branches of the left anterior descending coronary artery. Here, we evaluated conventional VCG criteria for the diagnosis of HLMI on the basis of angiographic findings, and selected the criteria of Chou as typical. The frontal plane VCG was analyzed in 46 and 194 patients with left ventricular hypertrophy. Chou's criteria had good specificity, but sensitivity was unsatisfactory (32/46, or 79%). Accordingly, we examined various parameters of the QRS and T loops and found that the addition of four new criteria to Chou's improved sensitivity (46/46, or 100%) without impairment of specificity. The additional criteria are; 1) initial counterclockwise rotation of the QRS loop, 2) the ration of the maximal QRS magnitude to the maximal T magnitude less than 4.5, 3) direction of the maximal T between +60° and +180°, 4) the QRS-T angle between 40° and 135°, all in the frontal plane.
- 社団法人日本循環器学会の論文
- 1989-09-20
著者
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Watarai Masato
School Of Health Sciences Nagoya University School Of Medicine
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Takatsu Fumimaro
Anjio Kosei Hospital
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Oosugi Junichi
Anjio Kosei Hospital
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Takatsu Fumimaro
Division Of Cardiology Department Of Internal Medicine Anjo Kosei Hospital
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Furuta Tatsuji
Department Of Cardiology Anjo Kosei Hospital
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Ohta Toshiki
Department Of Circulation And Respiration Research Institute Of Environmental Medicine Nagoya Univer
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Watarai Masato
Department Of Cardiology Anjo Kosei Hospital
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Watari Masato
Division Of Cardiology Department Of Internal Medicine Anjo Kosei Hospital
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OSUGI Junichi
Division of Cardiology, Department of Internal Medicine, Anfo Kosei Hospital
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NAGAYA Teruo
Division of Cardiology, Department of Internal Medicine, Anfo Kosei Hospital
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Nagaya Teruo
Division Of Cardiology Department Of Internal Medicine Anjo Kosei Hospital
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Nagaya Teruo
Department Of Circulation And Respiration The Resrach Institute Of Environmental Medicine Nagoya Uni
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Takatu Fumimaro
Anjo Kosei Hospital
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SUGIISHI MUNETAKA
Division of Cardiology, Department of Internal Medicine, Anjo Kosei Hospital
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OZEKI TOSHINORI
Division of Cardiology, Department of Internal Medicine, Anjo Kosei Hospital
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FURUTA TATSUJI
Division of Cardiology, Department of Internal Medicine, Anjo Kosei Hospital
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Ozeki Toshinori
Division Of Cardiology Department Of Internal Medicine Anjo Kosei Hospital
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Osugi Junichi
Division Of Cardiology Department Of Internal Medicine Anjo Kosei Hospital
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Takatsu Fumimaro
Division Of Cardiology Cardiovascular Center
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Ohsugi Junichi
Anjio Kosei Hospital
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Sugiishi Munetaka
Division Of Cardiology Department Of Internal Medicine Anjo Kosei Hospital
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Watari Masato
Division Of Cardiology Cardiovascular Center
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