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Signal-Averaged Electrocardiography in Normal Newborn infants

机译:正常新生儿的信号平均心电图

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Signal-averaged electrocardiograms (SAECGs) were recorded with bipolar orthogonal and standard 12-lead settings in 29 term healthy newborn infants. SAECGs performed with the two lead configurations were similar in quality and quantity. For the duration of the QRS complex (QRSD), the upper limit of normality for newborn infants can be set to 100 ms. It is similar in individual bipolar orthogonal and individual standard 12-lead recordings as well as in filtered QRSD in the vectorcardiograms (the vector magnitude, VM, and the sum of extremity leads). In individual leads of bipolar orthogonal and standard 12-lead recordings, root-mean-square voltage of the terminal 40 ms of the QRS complex (RMS40) is widely scattered and unsuitable as discriminant variable. For VM and the sum of the extremity leads, the same reference values for RMS40 and duration of low-amplitude signal can be used as applied in adults. Individual lead recordings provide complementary information in addition to vectorcardiograms. There are practical advantages using standard 12-lead compared to conventional bipolar orthogonal configurations. The widespread use of standard 12-lead ECG in routine medical practice makes its utility advantageous also in performing signal-averaged electrocardiography.
机译:在29例健康新生儿中,使用双极正交和标准12导联设置记录信号平均心电图(SAECG)。用两种引线配置执行的SAECG在质量和数量上相似。在QRS复合体(QRSD)的持续时间内,新生儿的正常上限可以设置为100 ms。在单个双极正交和单个标准12导联记录中,以及在心电图(矢量幅度,VM和四肢导联之和)中经过滤波的QRSD中,其情况都相似。在双极正交和标准12导联记录的各个导联中,QRS复合波(RMS40)的末端40 ms的均方根电压分散很大,不适合用作判别变量。对于VM和四肢导联的总和,可以使用与成人相同的RMS40和低幅度信号持续时间的参考值。除矢量心电图外,单独的铅记录还提供补充信息。与传统的双极正交配置相比,使用标准的12引线具有实际优势。标准12导联心电图在常规医疗实践中的广泛使用使其在执行信号平均心电图检查方面也具有优势。

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