Linked Life Data

2973217

Source:http://linkedlifedata.com/resource/pubmed/id/2973217

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
16
pubmed:dateCreated
1988-12-2
pubmed:abstractText
Using continuous 3-lead electrocardiographic (ECG) recordings in 19 patients undergoing elective percutaneous transluminal coronary artery angioplasty (PTCA) of the left anterior descending (LAD) artery, this study described the dynamic changes of the ST segment and the R- and S-wave amplitudes that occur during transient myocardial ischemia. The waveforms from lead V2 were quantified at 10-second intervals during the length of the balloon inflation that produced the greatest extent of ST-segment deviation. The simultaneous changes that occurred in leads aVF and V5 were also observed, but not quantified. Measurements of R- and S-wave amplitudes were performed during maximal ischemia from both the PR- and the J-ST-segment baselines to determine which of these most nearly maintained its control position during ischemia. The results indicate that the R-wave amplitude is best determined from the PR-segment baseline (p = 0.0007), while the S wave is best determined from the J-ST-segment baseline (p = 0.03). However, only a portion of the QRS changes observed during PTCA could be accounted for by the baseline shift. There were additional QRS changes during ischemia in 11 of the patients (58%) suggestive of conduction disturbances in 3 endocardial sites: left septal, right septal and left anterosuperior. It is hypothesized that these changes may represent ischemia-induced delay in conduction ("periischemic block") previously thought to occur only with myocardial infarction.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0002-9149
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
62
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1038-42
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed:year
1988
pubmed:articleTitle
Transient alterations of the QRS complex and ST segment during percutaneous transluminal balloon angioplasty of the left anterior descending coronary artery.
pubmed:affiliation
Department of Medicine, Duke University Medical Center, Durham, North Carolina 27710.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S.