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International Journal of Bioelectromagnetism Vol. 5, No. 1, p. 142, 2003. |
www.ijbem.org |
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Effects of Septal-Infarction on QRS Complex and T Wave Morphologies; Three Dimensional Computer Model Study Nobuyuki Shimizua,
Masahiko Kondoa, Riichiro Hamadaa, Kouhei Wakabayashia,
Fumiko Yanagisawaa, Fuyuki Asanoa, Youichi Takeyamaa,
Takeshi Tstsumia, Yoshiwo Okamotob aDivision of Cardiology, Showa University Fujigaoka
Hospital. Yokohama, Japan Abstract. While interventricular septal
mass amounts to nearly 30% of the whole ventricle, the ECG effect of septal
myocardial infarction (MI) has not yet been fully understood. In order to clarify
electrical effects of septal MI, a computer simulation study was performed with
use of three dimensional computer model (Wei-Harumi). The heart model consisted
of 50.000 units of cells was mounted in the homogeneous torso. The action potential
was assigned to each of the units and the resulting electromotive force was
calculated to reconstruct the surface ECG. Septal MI was represented by non-excitable
units corresponding to necrotic area. The action potential duration in the border
zone of necrotic area, where blood supply was obtained from both left and right
coronary arteries, was lengthened by 30 to 90 msec compared with the normal
zone. The results showed small r waves in leads V1 and V2, and the QS pattern
in midprecordial leads. T waves in V1, V2 were shifted to the negative side.
Conclusions; It is suggested that the QS pattern frequently seen in anteroseptal
infarction depends largely on the septal lesion and abnormal repolarization
force from the border zone causes negative precordial T waves.
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