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Stability of the ECG features of complete right bundle branch block over time: a methodological study for implementation in research and clinical practice.

机译:随着时间的推移完整右束分支块的ECG特征的稳定性:研究与临床实践中的实施方法论研究。

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摘要

Since research is concentrated to a large extent on patients with left bundle branch block, we aimed at evaluating the hypothesis that measurements of certain intervals and other characteristics of the ECG may change over time in patients with right bundle branch block (RBBB), and to design a model, which could be implemented in research and clinical practice, irrespective of the specific ECG features present. The duration of the QRS complex, QT, QTc, and PR intervals, the frontal QRS axis, the heart rate and the presence of hemiblocks, atrioventricular blocks, and atrial fibrillation were compared in the 1st and last of all available ECGs for each patient. Also, a subgroup of patients who had a ventricular aneurysm (VA) was compared with the remaining patients, with respect to the above variables. This longitudinal analysis included all of the patients with RBBB followed in our Cardiology Clinic. There were no significant changes in the ECG variables from the two ECGs recorded 487.6 +/- 410.1 (range 0-1,476) days apart, in the two comparisons carried out in 151 patients with RBBB. Comparison of the above-described ECG intervals and characteristics of patients with RBBB were found to be stable over the time course of the investigation. This methodological study is presented as a model to be used serially and prospectively in research and clinical practice for the follow-up of patients with bundle branch block, VA, dilated cardiomyopathy, congestive heart failure, or those considered for cardiac resynchronization therapy.
机译:由于研究在很大程度上对左束分支块的患者集中在很大程度上,我们旨在评估确定某些间隔和ECG其他特征的测量的假设可能随着时间的推移在右束分支块(RBBB)的患者中而变化,以及无论存在的特定的心电图特征如何,设计一种可以在研究和临床实践中实施的模型。在第1次和最后一次可用的ECG中,比较了QRS复合物,QT,QTC和PR间隔,QT,QTC和PR间隔,正面QR轴,心率和心脏颤动的存在。此外,与上述变量相比,将具有心室动脉瘤(VA)的患者的亚组进行比较。这种纵向分析包括所有RBBB患者,随后在我们的心脏病学诊所。在151例RBBB患者中,两个ECG录制了487.6 +/- 410.1(范围0-1,476)天数的ECG变量没有显着变化。在调查的时间过程中发现了上述ECG间隔和RBBB患者特征的比较。该方法学研究呈现为串联和前瞻性使用的模型,用于束分支块,VA,扩张心肌病,充血性心力衰竭或考虑心脏重新同步治疗的患者的后续研究和临床实践。

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