[Frequency domain analysis of signal-averaged electrocardiogram in patients with right bundle branch block following repair of congenital heart disease].

H Akita, S Matsuoka, M Kubo, Y Hayabuchi, Y Kuroda
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Abstract

Frequency domain analysis of signal-averaged electrocardiograms (SAECGs) were investigated in 24 patients with right bundle branch block (RBBB) following repair of congenital heart disease, in order to determine the block site of RBBB using a SAECG. The block site of RBBB was first identified by a body surface map; 10 patients had proximal RBBB, 14 had distal RBBB. The peak amplitude, the amplitudes on 20 Hz, 40 Hz, 50 Hz, and 100 Hz in the proximal RBBB patients were significantly (p < 0.01) smaller than in the distal RBBB patients. The areas between 0 to 20 Hz, between 0 to 40 Hz, between 20 to 50 Hz, between 40 to 100 Hz in the proximal RBBB patients were significantly (p < 0.01) smaller than in the distal RBBB patients. In conclusion, frequency domain analysis of SAECG was useful for determining the block site of RBBB following surgical correction.

先天性心脏病修复后右束支传导阻滞患者信号平均心电图频域分析
本文对24例先天性心脏病修复后右束支传导阻滞(RBBB)患者的信号平均心电图(SAECG)进行频域分析,以确定右束支传导阻滞的位置。首先通过体表图确定RBBB的阻滞位点;近端RBBB 10例,远端RBBB 14例。近端RBBB患者的峰值振幅、20 Hz、40 Hz、50 Hz和100 Hz的振幅均显著小于远端RBBB患者(p < 0.01)。近端RBBB患者0 ~ 20hz、0 ~ 40hz、20 ~ 50hz、40 ~ 100hz区域明显小于远端RBBB患者(p < 0.01)。综上所述,SAECG的频域分析有助于确定手术矫正后RBBB的阻滞部位。
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