The Frontal Plane Vectorcardiogram in Old Inferior Myocardial Infarction

Author:

YOUNG ELIOT1,LEVINE HAROLD D.1,VOKONAS PANTEL S.1,KEMP HARVEY G.1,WILLIAMS RICHARD A.1,GORLIN RICHARD1

Affiliation:

1. From the Department of Medicine (Cardiovascular Division) Peter Bent Brigham Hospital and Harvard Medical School, Boston, Massachusetts.

Abstract

The mid-to-late part of the frontal plane QRS loop (Frank lead system) of 150 consecutive subjects with an old inferior myocardial infarction was analyzed. During the acute episode all cases had to satisfy Myers' classical ECG criteria for the diagnosis. The vectorcardiogram was recorded months to years later. As a result of this analysis and in order to prevent overlap with values found in 450 normal control subjects, four VCG criteria are proposed for this diagnosis. The VCGs of 75 of the 150 patients fulfilled one or more of the four VCG criteria. The ECG, done at the time of VCG, satisfied Myers' or Goldberger's criteria or both criteria in 33 of these 75 patients, and an additional 24 of the 150 fulfilled either or both of these ECG criteria but had none of the four VCG criteria. Among 131 consecutively catheterized subjects who had significant disease of one or more major coronary arteries, 40 fulfilled one or more of the VCG criteria. Thirty-six of the 40 showed significant stenosis of at least the right coronary artery, and the other four, of at least the left circumflex but not of the right coronary artery. Six of these 40 fulfilled Myers' or Goldberger's criteria. Five of the 131 fulfilled either or both of these ECG criteria but none of the four VCG criteria.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Cited by 12 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3