[Vectorcardiographic manifestations of supraventricular ectopic rhythms].

La Prensa medica mexicana Pub Date : 1979-11-01
G A Medrano, A de Micheli
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Abstract

In the presence of low right atrial rhythms, the eight-shaped PF loop is located in the first quadrant, the PH loop is rotating in a counterclockwise direction and PS can rotate in either course. When the rhythm originates in high left atrial regions, PF and PH loop loops can be found in the third quadrant of both planes and should have a clockwise rotation. When the pacemaker is located in low left atrial regions, the PF loop rotates in a counterclockwise direction, or with its branches superposed, and located in the second quadrant; PH is rotating clockwise in the third quadrant; PS with either a clockwise or a counterclockwise rotation, is situated above and slightly ahead of the E point. In the presence of a nodal rhythm, the P loops show a counterclockwise rotation or an eight-shaped configuration. In the absence of atrial enlargements, the PF loop can be seen in the first quadrant and the PH in the first or the fourth quadrant.

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[室上异位节律的矢量图表现]。
右心房节律低时,八字形PF环位于第一象限,PH环逆时针旋转,PS可任意方向旋转。当心律起源于左心房高位区时,在两个平面的第三象限均可发现PF和PH环路,且应呈顺时针旋转。当起搏器位于左下心房区域时,PF回路逆时针旋转或分支重叠,位于第二象限;PH在第三象限顺时针旋转;PS可以顺时针或逆时针旋转,位于E点的上方和前面。在节点节律存在的情况下,P环呈现逆时针旋转或八字形结构。在没有心房增大的情况下,PF环可见于第一象限,PH可见于第一象限或第四象限。
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