@article{oai:junshin.repo.nii.ac.jp:00000090,
 author = {金原, 正昭 and KANAHARA, Masaaki},
 issue = {3},
 journal = {純真学園大学雑誌 = Journal of Junshin Gakuen University, Faculty of Health Sciences},
 month = {Mar},
 note = {application/pdf, 要旨 : Brugada型心電図患者が心室頻拍/心室細動に関し高リスクであるか低リスクであるかを12誘導心電図で鑑別することは困難である。そこで右脚ブロック様心電図の成因について基礎研究から臨床研究の論文をレビューし, 高リスクBrugada型心電図患者が前胸部上方に限局する脱・再分極異常を含む疾患群であることの意味について解説する。また, QRST等積分図と16誘導加算平均心電図検査の非観血的リスク予測検査法としての可能性について先行研究を引用し考察する。

Abstract : In clinical practice, it is difficult to discriminate between high- and low-risk patients having the ECG features of Brugada syndrome. As to the origin of right bundle branch block-like electrocardiogram, in this paper we review the research on clinical studies from basic studies and show the body-surface QRST integral mapping and 16-unipolar lead signal averaged ECG were useful for non-invasive identification of high-risk patients for malignant ventricular arrhythmias. The minimum integrals in the upper back and an abnormal positive area in the upper anterior chest were specific features of the QRST isointegral map and the QRST integral departure map, respectively, for high-risk group. The areas of significantly longer fQRSd and LAS40 were located in the upper anterior part of the torso in the high-risk group and were compatible with the location of the right ventricular outflow tract and/or left ventricular free wall. The QRST integral mapping and 16reads signal averaging ECG may be useful, non-invasive approach to screening of high-risk patients in the population with Brugada-type ECG patterns.},
 pages = {039--051},
 year = {2014},
 yomi = {カナハラ, マサアキ}
}