Usefulness and Reliability of Vectorcardiography in the Diagnosis of Myocardial Infarction : A Vectorcardiographic and Pathological Correlation
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概要
- 論文の詳細を見る
(1) Frank lead vectorcardiograms of 348 autopsy cases, including 43 cases with myocardial infarction, were reviewed and the results were compared with the pathologic observations.(2) The correct diagnosis of myocardial infarction was possible in 30 of 43 autopsy-proved cases in the vectorcardiogram. Two of these 30 cases were not diagnosed by the routine electrocardiogram. On the other hand, the vectorcardiogram missed a diagnosis of myocardial infarction in none of the 28 cases of autopsy-proved myocardial infarction diagnosed by routine electrocardiography.(3) The overdiagnosis of myocardial infarction in the vectorcardiography was made in 11 of 305 cases without extensive myocardial fibrosis at later autopsy. Nine of these 11 cases were misdiagnosed as anterior infarction, while the remaining 2 were misinterpreted as inferior infarction.(4) The necessity of considering the possibility of overdiagnosis of myocardial infarction in reading vectorcardiograms was pointed out, although the present observations suggest the superior sensitivity of vectorcardiography to routine electrocardiography.
- International Heart Journal刊行会の論文
著者
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Murata Kazuhiko
Present Address: The 2nd Department Of Internal Medicine Gunma University School Of Medicine
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Kurihara Hiroshi
Third Dept. Intern. Med., Fac. Med., Univ. of Tokyo.
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Ikeda Masao
Third Dept. Intern. Med., Fac. Med., Univ. of Tokyo.
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MURATA KAZUHIKO
Third Dept. of Intern. Med., Faculty of Med., Univ. of Tokyo
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MATSUSHITA SATORU
Third Dept. of Intern. Med., Faculty of Med., Univ. of Tokyo
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TERASAWA Fujio
Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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SEI Masuji
Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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KURIHARA Hiroshi
Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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IKEDA Masao
Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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MURATA Kazuhiko
Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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MATSUSHITA Satoru
Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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