Document Detail


Repolarization pattern of body surface potential maps (BSPM) in coronary artery disease.
MedLine Citation:
PMID:  8218132     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of our study was to assess if repolarization BSPM were able to evaluate the site, size and severity of chronic ischaemic damages and if BSPM were in any way related to the regional attenuation of myocardial contractility or to the site of coronary artery occlusion. The BSPM were obtained from 69 patients suffering from coronary artery disease confirmed by coronarography, with at least 75% occlusion of at least one coronary artery. According to the site of single occlusion, or a combination of the sites of multiple occlusions, the patients were divided into 6 subgroups. According to the region of attenuated kinetics the same group of 69 patients was also divided into other 6 subgroups. As in the polarity distribution there was only a limited accordance in BSPM with coronarographic and echocardiographic findings, in the localization of extreme values there were very important specific changes in patients with normal kinetics as determined by both contrast ventriculography and two-dimensional echocardiography. The repolarization maps can distinguish patients with coronary artery disease and normal echocardiography from healthy persons with a sensitivity of 85% and a specificity of 65% in the case of the isoareal map from the ST segment (RIAM) and 90% and 85%, respectively, in the case of the isointegral map from the whole ST-T segments (RIIM).
Authors:
O Kittnar; J Slavícek; M Vávrová; M Barna; A Dohnalová; A Málková; M Aschermann; J Humhal; J Hradec; J Král
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Physiological research / Academia Scientiarum Bohemoslovaca     Volume:  42     ISSN:  0862-8408     ISO Abbreviation:  Physiol Res     Publication Date:  1993  
Date Detail:
Created Date:  1993-12-07     Completed Date:  1993-12-07     Revised Date:  2008-04-02    
Medline Journal Info:
Nlm Unique ID:  9112413     Medline TA:  Physiol Res     Country:  CZECH REPUBLIC    
Other Details:
Languages:  eng     Pagination:  123-30     Citation Subset:  IM    
Affiliation:
Institute of Physiology, First Medical Faculty, Charles University, Prague.
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MeSH Terms
Descriptor/Qualifier:
Adult
Coronary Disease / physiopathology*
Electrocardiography / methods*
Female
Humans
Kinetics
Male
Middle Aged

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