Serial electrocardiograms in hypertensive cardiovascular disease.

نویسندگان

  • R A Dunn
  • R J Zenner
  • H V Pipberger
چکیده

A graphic method for depicting serial changes in electrocardiograms is described and demonstrated for patients being treated in an antihypertension clinic. For these patients, the diagnostic categories, normal, left ventricular hypertrophy, and biventricular hypertrophy, are of primary interest. For each electrocardiogram, 14 measurements are used to compute posterior probabilities for each of the three categories. A triangular grid is used to plot each set of probabilities for an electrocardiogram as one point, which by its position in the triangle can be related to the three categories simultaneously. Points representing successive electrocardiograms can be plotted in the same triangle, giving a pattern of change with time. This pattern of change has been corroborated with associated clinical information on a number of patients. This display, which can be produced quickly and efficiently on a computer graphics terminal, should be considered as a possible tool in evaluating the status of individual hypertensive patients in terms of increase or decrease of ventricular hypertrophy and the efficacy of therapeutic measures.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Determinants of Hypertensive Heart Disease Among Adult Hypertensive Patients in University of Gondar Referral Hospital, Gondar North West Ethiopia, A Case- Control Study

Background: Hypertensive heart disease (HHD) is the constellation of abnormalities characterized by cardiac complications. Despite advancements in management of hypertension and access to medical care, incidence of HHD is an alarmingly increasing through time. However, information on determinants of HHD studies is limited in Ethiopia. We assessed determinants of HHD among adult hypertensive pat...

متن کامل

Is tree loss associated with cardiovascular-disease risk in the Women's Health Initiative? A natural experiment.

Data from the Women's Health Initiative were used to quantify the relationship between the loss of trees to an invasive forest pest-the emerald ash borer-and cardiovascular disease. We estimated a semi-parametric Cox proportional hazards model of time to cardiovascular disease, adjusting for confounders. We defined the incidence of cardiovascular disease as acute myocardial infarction requiring...

متن کامل

Serial electrocardiographic changes in treated hypertensive patients with reference to voltage criteria, mean QRS vectors, and the QRS-T angle.

Serial changes in voltage, QRS vectors, and QRS-T angles were studied in 44 patients who had shown improvement in their electrocardiograms during treatment for hypertension. Changes were observed in a number of electrocardiographic voltage criteria often used in the study of left ventricular hypertrophy. This is consistent with a change in the magnitude of the mean QRS vector and its reflection...

متن کامل

بررسی اثر کاپتوپریل بر پاسخدهی عروق مزانتر به آنژیوتانسین I پس از القاء پرفشاری خون کلیوی در موش صحرائی

          Changes in tissues and general renin-angiotensin system’s function are    the most important factors in cardiovascular disease such as essential    hypertension. Recent research shows that general  renin - angiotensin     system  affects the short and immediate response , and that of the...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Circulation

دوره 56 3  شماره 

صفحات  -

تاریخ انتشار 1977