Clinical Significance of Electrocardiography Recordings From a Higher Intercostal Space for Detection of the Brugada Sign
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概要
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Background The significance of higher intercostal space electrocardiography (HICS ECG) for the detection of the Brugada sign was investigated. Methods and Results The subjects consisted of 113 cases (108 males, 5 females; mean age, 57±17 years) with incomplete right bundle branch block type QRS morphology and ST-segment elevation (>0.10mV) in the right precordial leads. Obvious structural heart disease was not observed in any of the subjects. The V_<1-3> leads of the standard 12-lead ECG and the HICS ECG were recorded in the supine position, and the amplitude of the terminal portion of the QRS (J-point) and ST-segment (80 ms from the J-point) were measured. In the HICS ECG, there was an increase in the area in which the Brugada sign was detectable (47 leads to 66 leads), and in cases with the Brugada sign, the amplitude of the J-point increased. Conclusions The HICS ECG may be helpful for the detection of the Brugada sign.
- 社団法人日本循環器学会の論文
- 2004-10-20
著者
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Sakurai Tsuneharu
Clinical Lab . St. Marianna Unviersity School Of Medicine
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MIYAKE Fumihiko
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
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Takagi Akihiko
Asao Hospital
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Nakazawa Kiyoshi
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
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Sakurai Tsuneharu
Division of Laboratory Medicine, St. Marianna University Hospital
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Kishi Ryoji
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
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Takagi Akihiko
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
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Osada Keizo
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
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Miyazu Osamu
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
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Watanabe Yoshiyuki
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
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Miyake Fumihiko
Division Of Cardiology Department Of Internal Medicine St. Marianna University School Of Medicine
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Nakazawa Kiyoshi
Cardiovascular Division St Marianna University School Of Medicine
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Watanabe Yoshiyuki
Department Of Cardiology St. Marianna University School Of Medicine
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KISHI Ryouji
Department of Cardiology, St. Marianna University School of Medicine
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Kishi Ryouji
Department Of Cardiology St. Marianna University School Of Medicine
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Osada Kezo
Department Of Cardiology St. Marianna University School Of Medicine
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Miyazu Osamu
Division Of Cardiology Department Of Internal Medicine St. Marianna University School Of Medicine
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Sano Toshio
Department Of Cardiology Yokohama Minami Kyosai Hospital
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Nakasawa Kiyoshi
The Second Department Of Internal Medicine St. Marianna University School Of Medicine
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Nakazawa Kiyoshi
Division Of Cardiology St. Marianna University School Of Medicine
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Nakasawa Kiyoshi
The 2nd Dept. Of Internal Med. St.marianna University. School Of Med.
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Sano Toshio
Department Of Cardiology Tokyo Metropolitan Hiroo Hospital
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Osada Keizo
Division Of Cardiology Department Of Internal Medicine St. Marianna University School Of Medicine
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Miyake Fumihiko
Division Of Cardiology Department Of Internal Medicine St Marianna University School Of Medicine
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Takagi Akihiko
Division of Analytical Chemistry of Medicines, Showa Pharmaceutical University
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