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双蜂性T波其波形被认为是非特异性异常所见,但因病理生理学及临床意义尚不明了,故到目前为止未被重视。著者在最近实验研究基础上结合临床心电图研究,得出如下的推论。即生理上右室优势的小儿,右室复极过程延迟的右束支阻滞病例、引起右室负荷的先天性心脏病例中,双峰性T 波出现于右胸导联,故在此病例中,T 波的第一峰是来自左室复极,第二峰是来自右室复极。在成人,随着年龄增加,再加上伴有心肌缺血或缺血性变化的左室肥大病例中,其双峰性T 波出现部位移向左胸导联,
The bipolar T-wave waveform is considered to be seen as a nonspecific abnormality, but so far it has not been valued due to the pathophysiology and clinical significance. Based on recent experimental studies and clinical ECG studies, the authors draw the following corollary. Physiologically right ventricular dominance in children, right ventricular repolarization delayed right bundle branch block cases, right ventricular load caused congenital heart disease cases, the bimodal T wave appeared in the right chest lead, so in this case In the T wave of the first peak is from the left ventricular repolarization, the second peak is from the right ventricular repolarization. In adults, with increasing age, coupled with left ventricular hypertrophy associated with myocardial ischemia or ischemic changes, the bimodal T wave shift to the left chest leads,