首页> 外文会议>Engineering in Medicine and Biology Society, 1998. Proceedings of the 20th Annual International Conference of the IEEE >Clinical application of body surface Laplacian mapping in diagnosis of myocardial infarction
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Clinical application of body surface Laplacian mapping in diagnosis of myocardial infarction

机译:体表拉普拉斯定位在心肌梗死诊断中的临床应用

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The feasibility of applying body surface Laplacian mapping to aid clinical diagnosis of myocardial infarction (MI) was tested. Potential ECGs were recorded from the anterolateral chest of a patient with prior MI as determined by clinical criteria. After pre-processing, the Laplacian ECGs were calculated using a finite difference estimation algorithm. Results of the 12-lead ECG, echocardiogram, and body surface potential maps (BSPM) were examined and compared to the early depolarization activities observed in the body surface Laplacian maps (BSLM). The BSLMs showed a localized initial negativity as early as 18 ms after the onset of the QRS complex. In contrast, healthy subjects showed an initial positivity at the same time point. The negativity in the BSLM of the patient appeared to overlie the site of MI as determined by 12-lead ECG and echocardiographic criteria. The negativity, a spatial equivalent of the ECG Q wave, was much more localized as compared to the corresponding potential maps, and may better reflect the extent of MI as compared to the BSPMs.
机译:测试了应用体表Laplacian映射来辅助心肌梗死(MI)临床诊断的可行性。根据临床标准,从先前患有MI的患者的前外侧胸部记录潜在的ECG。预处理后,使用有限差分估计算法计算拉普拉斯心电图。检查了12导联心电图,超声心动图和体表电位图(BSPM)的结果,并将其与在体表拉普拉斯图(BSLM)中观察到的早期去极化活性进行了比较。早在QRS复合体发作后18毫秒,BSLMs就显示出局部的初始阴性。相反,健康受试者在同一时间点显示出初始阳性。由12导联心电图和超声心动图标准确定,患者的BSLM阴性表现为覆盖MI部位。负性(相当于ECG Q波的空间等效性)与相应的电位图相比更加局限,并且与BSPM相比,可能更好地反映了MI的程度。

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