借助向量图解读体表心电图胸导联R波递增不良

魏莹; 王明; 王倩; 谷方

doi:10.13308/j.issn.2095-9354.2016.01.014

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实用心电与临床诊疗 ›› 2016, Vol. 25 ›› Issue (1) : 55-62. DOI: 10.13308/j.issn.2095-9354.2016.01.014

心电向量专题研究

借助向量图解读体表心电图胸导联R波递增不良

作者信息 +

With the vectorcardiogram interpret the poor R wave progression in precordial leads of ECG

Author information +

文章历史 +

摘要

人体常规体表正常心电图胸导联R波振幅应逐渐升高，R/S逐渐增大，但在某些病理及生理情况下可出现胸导联R波振幅递增不良或存在逆向递增,在这种情况下，单纯依靠体表心电图不能做出明确的诊断,而心电向量图作为另外一种记录心脏电激动的方法，它可以反映电极之间的空间方位，相比心电图检查，其在诊断某些疾病时具有明显的优势。在临床工作中，可以借助向量图解读体表心电图胸导联R波递增不良的现象。本文通过图例讲解的方式就胸导联R波递增不良分型做出简要的阐述和分析并借助心电向量图解读不同类型胸导联R波递增不良的临床意义。

Abstract

The r wave amplitude should increase in the normal chest lead of ECG, and R/S should increase gradually, but in some pathological and physiological conditions the poor R wave progression or reverse increment exist, in this case, only the body surface electrocardiogram cannot make a definite diagnosis, and vectorcardiogram serves as another way to record the heart electricity excited method, it can reflect the space between the electrode position, compared with electrocardiogram inspection, it has obvious advantages in diagnosis of some diseases.In clinical work, we can use a vector diagram interpretation of body surface electrocardiogram to explain the poor R wave progression in precordial leads(PRWP)of ECG. In this paper, we mainly statement and analysis the PRWP using legend and interpret the clinical significance of the PRWP using the vectrocardiologram.

导出引用

魏莹, 王明, 王倩, 等. 借助向量图解读体表心电图胸导联R波递增不良[J]. 实用心电学杂志, 2016, 25(1): 55-62 https://doi.org/10.13308/j.issn.2095-9354.2016.01.014

WEI Ying, WANG Ming, WANG Qian, et al. With the vectorcardiogram interpret the poor R wave progression in precordial leads of ECG[J]. JOURNAL OF PRACTICAL ELECTROCARDIOLOGY, 2016, 25(1): 55-62 https://doi.org/10.13308/j.issn.2095-9354.2016.01.014

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