Relationship between reference point potential and potential distribution of normal electrocardial field on the thoracic surface of healthy individuals / 南方医科大学学报
Journal of Southern Medical University
;
(12): 1640-1645, 2008.
Article
in Chinese
| WPRIM
| ID: wpr-340759
ABSTRACT
<p><b>OBJECTIVE</b>To explore the effect of reference point on the potential distribution of normal cardioeleclric field of healthy individuals.</p><p><b>METHODS</b>Two different reference points including central terminal and right forehead were applied to record electrocardiogram simultaneously from 15 testing points (V(1)-V(6), V(7)-V(9), V(3R)-V(8R)) of Wilson lead (RL) and the same testing points (HV(1)-HV(9), HV(3R)-HV(8R)) of head-chest (HC) lead around the torso of healthy individuals. Chi-square test was performed to observe statistical difference between the HCECGs and RLECGs according to different shapes of QRS and T waves.</p><p><b>RESULTS</b>Among 120 healthy individuals, deformed ECGs appeared in V(1) and HV(3R)-HV(8R) leads, with 20% (24/120) inverted T wave in V(1) lead, 100% (120/120) in V(3R)-V(8R) leads, wide or deep Q wave 100% (120/120) in V(4R)-V(8R) leads. However, in the corresponding HC-lead system, T waves were all positive, and QRS waves were upright as the pattern of rs, RS or qRs. There was statistical difference in the form of ECG between V(1), V(3R)-V(8R) of Wilson lead and the corresponding HC-lead (P<0.05). The distribution of normal cardioeleclric field related to QRS-T wave was of all-round outward shape by HC-lead, and of roughly bipolar shape by Wilson lead for inverted QRS-T wave on the right thoracic surface.</p><p><b>CONCLUSION</b>The normal distribution of electrocardial field is determined by the potential of the reference point. The forehead of HC-lead seems to be better than the central terminal as the reference point of the lead system.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physiology
/
Reference Standards
/
Reference Values
/
Chi-Square Distribution
/
Body Surface Potential Mapping
/
Heart
/
Methods
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Journal of Southern Medical University
Year:
2008
Type:
Article
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