第4回 体表心臓微小電位研究会 加算平均心電図の各解析法における再現性に関する検討 各測定値の変動が診断結果におよぼす影響について
健常成人50例と慢性期心筋梗塞症例42例について,加算平均心電図の時間解析法(TDM),周波数解析法(FFT),spectral turbulence法(ST)における各パラメーターの変動が,診断結果におよぼす影響につき検討した.加算平均心電図は10分間隔で2回(AB)記録し,各解析法におけるパラメーターの実測値の変動率(|A-B|/(A+B)/2)および2記録間の診断一致率を比較検討した.診断基準は従来の報告に従い,TDMでは2つ以上,STでは3つ以上のパラメーターが,FFTではarea ratioが異常な場合を陽性と診断した.各パラメーターは,2記録間で変動を認め,特にRMS40およびIS...
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| Published in | 心臓 Vol. 26; no. Supplement6; pp. 11 - 15 |
|---|---|
| Main Authors | , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
公益財団法人 日本心臓財団
25.12.1994
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| Online Access | Get full text |
| ISSN | 0586-4488 2186-3016 |
| DOI | 10.11281/shinzo1969.26.Supplement6_11 |
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| Abstract | 健常成人50例と慢性期心筋梗塞症例42例について,加算平均心電図の時間解析法(TDM),周波数解析法(FFT),spectral turbulence法(ST)における各パラメーターの変動が,診断結果におよぼす影響につき検討した.加算平均心電図は10分間隔で2回(AB)記録し,各解析法におけるパラメーターの実測値の変動率(|A-B|/(A+B)/2)および2記録間の診断一致率を比較検討した.診断基準は従来の報告に従い,TDMでは2つ以上,STでは3つ以上のパラメーターが,FFTではarea ratioが異常な場合を陽性と診断した.各パラメーターは,2記録間で変動を認め,特にRMS40およびISCSDは比較的大きな変動率を示したが,診断一致率は健常群でTDM92%,FFT100%,ST96%,心筋梗塞群ではそれぞれ93%,90%,88%であり,両群ともに診断結果の再現性は良好であった. |
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| AbstractList | 健常成人50例と慢性期心筋梗塞症例42例について,加算平均心電図の時間解析法(TDM),周波数解析法(FFT),spectral turbulence法(ST)における各パラメーターの変動が,診断結果におよぼす影響につき検討した.加算平均心電図は10分間隔で2回(AB)記録し,各解析法におけるパラメーターの実測値の変動率(|A-B|/(A+B)/2)および2記録間の診断一致率を比較検討した.診断基準は従来の報告に従い,TDMでは2つ以上,STでは3つ以上のパラメーターが,FFTではarea ratioが異常な場合を陽性と診断した.各パラメーターは,2記録間で変動を認め,特にRMS40およびISCSDは比較的大きな変動率を示したが,診断一致率は健常群でTDM92%,FFT100%,ST96%,心筋梗塞群ではそれぞれ93%,90%,88%であり,両群ともに診断結果の再現性は良好であった. |
| Author | 住吉, 正孝 中里, 祐二 久岡, 英彦 戸叶, 隆司 小倉, 俊介 山口, 洋 中田, 八洲郎 大野, 安彦 松本, 佳久 中里, 馨 安田, 正之 |
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| References | 10) Breithardt G, Cain 1VIE, El-Sherif N, et al :Standards for Analysis of Ventricular Late Potential Using High-Resolution or Signal-Averaged Electrocardiography : A Statement by a Task Force Committee of the Europian Society of Cardiology, the American Heart Association, and the American College of Car-diology. J Am Coll Cardiol 1991 ; 17 : 999-1006 13) Sager PT, Widerhorn J, Pascual M, et al : A prospective evaluation of the immediate re-producibility of the signal-averaged ECG. Am Heart J 1991 ; 121 : 1671-1678 8) Lindsay BD, Ambos HD, Schechtman KB, et al :Improved Differentiation of Patient with and without Ventricular Tachycardia by Frequency Analysis of Multiple Electrocardiograhic Leads. Am J Cardiol 1988 ; 62 : 556-561 16) Denniss AR, Ross DL and Uther JB : Repro-ducibility of Measurements of Ventricular Acti-vation Time Using the Signal-Averaged Frank Vectorcardiogram. Am J Cardiol 1986 ;57:156-160 4) Ozawa Y, Yakubo 5, Tanigawa N, et al : The Clinical Evaluation of the Late Potential with Ventricular Arrhythmias. Jpn Circ J 1987 ;51 : 230-241 14) Engel TR, Pierce DL and Patil KD: Repro-ducibility of the signal-averaged electrocardio-grams. Am Heart T 1991 ; 122 : 1652-1660 2) Rozanski Jj, Mortana D, Myerburg RJ, et al : Body Surface Detection of Delayed Depolariza-tion in Patients with Recurrent Ventricular Tachycardia and Left Ventricular Aneusyam. Circulation 1981 ; 63 : 1172-1178 12) Engel TR, Pierce DL and Murphy SP : Varia-tion in Late Potential and Reproducibility of their Measurement. Progress in Cardiovascular Diseases 1993 ; 35 : 247-262 3) Gomes JA, Winters SL, Martinson M, et al :The Prognostic Significance of Quantitative Signal-Averaged Variables Relative to Clinical Variables, Site of Myocardial Infarction. Ejec-tion Fraction and Ventricular Premature Beats : A Prospective Study. J Am Coll Cardiol 1989 ; 13 : 377-384 5) Buckingham TA, Ghosh S, Homan SM, et al :Independent Value of Signal-Averaged Electro-cariography and Left Ventricular Function in Identifying Patients with Sustained Ventricular Tachycardia with Coronary Artery Disease. Am J Cardiol 1987 ; 59 : 568-572 15) 中里祐二,岩亨,FontaineG:加算平均心電図における各種解析法の評価について.心臓1993;25(suppl5):94-100 1) Simson MB : Use of Signals in the Terminal QRS Complex in Identify Patients with Ventri-cular Tachycardia after Myocardial Infarction. Circulation 1980 ; 64 : 235-242 11) Kulakowski P, Malik M, Poloniecki J, et al:Frequency Versus Time Domain Analysis of Signal-Averaged Electrocardiograms. II. Iden-tification of Patients with Ventricular Tachy-cardia after Myocardial Infarction. I Am Coll Cardiol 1992 ; 20 : 135-143 7) Gomes JA, Winters SL, Stewart D, et al : Opti-mal Bandpass Filters for Time-Domain Analy-sis of the Signal-Averaged Electrocardiogram. Am J Cardiol 1987 ; 60 : 1290-1298 9) Lindsay BD, Markham J, Schechtman KB, et al : Identification of patients with sustained ventricular tachycardia by frequency analysis of signal-averaged electrocardiogram despite the presence of bundle branch block. Circulation 1988 ; 77 : 122-130 6) Kelen GJ, Henkin R, Starr AM, et al : Spectral Turbulence Analysis of the Signal-Averaged Electrocardiogram and its Predictive Accuracy for Inducible Sustained Monomorphic Ventri-cular Tachycardia. Am j Cardiol 1991 ; 67 :965-975 |
| References_xml | – reference: 13) Sager PT, Widerhorn J, Pascual M, et al : A prospective evaluation of the immediate re-producibility of the signal-averaged ECG. Am Heart J 1991 ; 121 : 1671-1678 – reference: 15) 中里祐二,岩亨,FontaineG:加算平均心電図における各種解析法の評価について.心臓1993;25(suppl5):94-100 – reference: 6) Kelen GJ, Henkin R, Starr AM, et al : Spectral Turbulence Analysis of the Signal-Averaged Electrocardiogram and its Predictive Accuracy for Inducible Sustained Monomorphic Ventri-cular Tachycardia. Am j Cardiol 1991 ; 67 :965-975 – reference: 7) Gomes JA, Winters SL, Stewart D, et al : Opti-mal Bandpass Filters for Time-Domain Analy-sis of the Signal-Averaged Electrocardiogram. Am J Cardiol 1987 ; 60 : 1290-1298 – reference: 8) Lindsay BD, Ambos HD, Schechtman KB, et al :Improved Differentiation of Patient with and without Ventricular Tachycardia by Frequency Analysis of Multiple Electrocardiograhic Leads. Am J Cardiol 1988 ; 62 : 556-561 – reference: 9) Lindsay BD, Markham J, Schechtman KB, et al : Identification of patients with sustained ventricular tachycardia by frequency analysis of signal-averaged electrocardiogram despite the presence of bundle branch block. Circulation 1988 ; 77 : 122-130 – reference: 14) Engel TR, Pierce DL and Patil KD: Repro-ducibility of the signal-averaged electrocardio-grams. Am Heart T 1991 ; 122 : 1652-1660 – reference: 2) Rozanski Jj, Mortana D, Myerburg RJ, et al : Body Surface Detection of Delayed Depolariza-tion in Patients with Recurrent Ventricular Tachycardia and Left Ventricular Aneusyam. Circulation 1981 ; 63 : 1172-1178 – reference: 1) Simson MB : Use of Signals in the Terminal QRS Complex in Identify Patients with Ventri-cular Tachycardia after Myocardial Infarction. Circulation 1980 ; 64 : 235-242 – reference: 4) Ozawa Y, Yakubo 5, Tanigawa N, et al : The Clinical Evaluation of the Late Potential with Ventricular Arrhythmias. Jpn Circ J 1987 ;51 : 230-241 – reference: 5) Buckingham TA, Ghosh S, Homan SM, et al :Independent Value of Signal-Averaged Electro-cariography and Left Ventricular Function in Identifying Patients with Sustained Ventricular Tachycardia with Coronary Artery Disease. Am J Cardiol 1987 ; 59 : 568-572 – reference: 16) Denniss AR, Ross DL and Uther JB : Repro-ducibility of Measurements of Ventricular Acti-vation Time Using the Signal-Averaged Frank Vectorcardiogram. Am J Cardiol 1986 ;57:156-160 – reference: 11) Kulakowski P, Malik M, Poloniecki J, et al:Frequency Versus Time Domain Analysis of Signal-Averaged Electrocardiograms. II. Iden-tification of Patients with Ventricular Tachy-cardia after Myocardial Infarction. I Am Coll Cardiol 1992 ; 20 : 135-143 – reference: 12) Engel TR, Pierce DL and Murphy SP : Varia-tion in Late Potential and Reproducibility of their Measurement. Progress in Cardiovascular Diseases 1993 ; 35 : 247-262 – reference: 3) Gomes JA, Winters SL, Martinson M, et al :The Prognostic Significance of Quantitative Signal-Averaged Variables Relative to Clinical Variables, Site of Myocardial Infarction. Ejec-tion Fraction and Ventricular Premature Beats : A Prospective Study. J Am Coll Cardiol 1989 ; 13 : 377-384 – reference: 10) Breithardt G, Cain 1VIE, El-Sherif N, et al :Standards for Analysis of Ventricular Late Potential Using High-Resolution or Signal-Averaged Electrocardiography : A Statement by a Task Force Committee of the Europian Society of Cardiology, the American Heart Association, and the American College of Car-diology. J Am Coll Cardiol 1991 ; 17 : 999-1006 |
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| Subtitle | 各測定値の変動が診断結果におよぼす影響について |
| Title | 第4回 体表心臓微小電位研究会 加算平均心電図の各解析法における再現性に関する検討 |
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