Relationship between left ventricular ejection fractions and electrocardiographic variations in chronic chagasic patients

Raúl Céspedes, Hyun Chung, Albert Josafat, V. Gil, Jorge Guzmán, J. Ochoa
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Abstract

The sistodiastolic dysfunction of the heart measured through global ejection of the left ventricle as systolic parameter and the ventricular rapid filling plus the time of ventricular total filling as parameters of function diastólica are informational facts of complementary examinations of high sensibility and specificity for this type of study. It was established a relationship between the fraction of left ventricular ejection global and segment, measured for ventriculografía radioisotópica of balance, with the disorders electrocardiográficos in chronic chagásic patients. It is possible to conclude that while major alteration exists in the fraction of ventricular ejection, major abnormal variations exist in the electrocardiography of the chronical chagasic patients. Those who presented complete block of right branch show the possible existence of association in the deterioration of the fraction of ejection apicoseptal, aspect that would allow to conclude that the complete blockade of right branch can be a variable predisposed. The statistical analysis of the fraction of ejection apical that was found shows that the decrease of this region has a statistical force with the electrocardiografic deterioration complete blockade of right branch more front left hemibloqueo, This scientific evidence is confirmed across the statistical and epidemiological evidence which indicators allow to observe a major prevalency in 66 % and a major association of 1.51 times of complete Blockade of Right Branch more front left hemibloqueo in relation to other segments.
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慢性恰加斯病患者左室射血分数与心电图变化的关系
通过左心室总射血测量心脏舒张功能障碍作为收缩参数,通过心室快速充盈加上心室总充盈时间作为功能参数diastólica,是对此类研究具有高敏感性和特异性的补充检查的信息事实。建立了慢性chagásic患者左心室总射血和节段射血分数(测量平衡ventriculografía radioisotópica)与疾病electrocardiográficos之间的关系。这是可能的结论,虽然主要的改变存在于心室射血的比例,主要的异常变化存在于慢性chagasic患者的心电图。那些表现为右支完全阻塞的患者显示出可能存在与射血尖尖部分恶化相关的因素,这方面可以得出结论,右支完全阻塞可能是一个可变的易感因素。对射血尖顶部分的统计分析表明,随着心电图的恶化,该区域的减少具有统计学意义,右支完全阻断,左前半部分增多。这一科学证据在统计和流行病学证据中得到证实,这些指标允许观察到66%的主要患病率和1.51倍的主要关联,完全阻断右支更多的左前半脑相对于其他节段。
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