Standard Values and Characteristics of Electrocardiographic Findings in Children and Adolescents
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- Yoshinaga Masao
- Department of Pediatrics, National Hospital Organization Kagoshima Medical Center
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- Iwamoto Mari
- Child Center, Saiseikai Yokohamashi Tobu Hospital
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- Horigome Hitoshi
- Department of Child Health, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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- Sumitomo Naokata
- Department of Pediatric Cardiology, Saitama Medical University International Medical Center
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- Ushinohama Hiroya
- Pediatric Cardiology, Ohori Children’s Clinic
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- Izumida Naomi
- Pediatric Cardiology, Akebonocho Clinic
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- Tauchi Nobuo
- Aichi Saiseikai Rehabilitation Hospital
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- Yoneyama Tatsuya
- Fukuda Denshi Co., Ltd.
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- Abe Katsumi
- Tokyo Health Service Association
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- Nagashima Masami
- Aichi Saiseikai Rehabilitation Hospital
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<p>Background:Reference values and the characteristics of the electrocardiographic (ECG) findings using a large number of subjects are lacking for children and adolescents.</p><p>Methods and Results:A total of 56,753 digitally stored ECGs of participants in a school-based ECG screening system were obtained between 2006 and 2009 in Kagoshima, Japan. Each ECG was manually reviewed by 2 pediatric cardiologists and only ECGs with sinus rhythm were included. A final total of 48,401 ECGs from 16,773 1st (6 years old, 50% girls), 18,126 7th (12 years old, 51% girls), and 13,502 10th graders (15 years old, 52% girls) were selected. ECG variables showed differences in age and sex. However, the effects of age and sex on ECG variables such as the PQ interval, QRS voltage, and STJ segment were also different. The 98th percentile values of well-known surrogate parameters for ventricular hypertrophy in the present study were much higher than the conventional criteria.</p><p>Conclusions:The present study of a large number of pediatric subjects showed that the effects of age and sex on ECG parameters are different, and that criteria for ventricular hypertrophy should be newly determined by age and sex. We have developed reference data for STJ segment elevation for children and adolescents. These findings are useful for creating guidelines and recommendations for interpretation of pediatric ECG.</p>
収録刊行物
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- Circulation Journal
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Circulation Journal 82 (3), 831-839, 2018
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390282680084891520
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- NII論文ID
- 130006394514
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 028850199
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- PubMed
- 29199265
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
- KAKEN
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- 抄録ライセンスフラグ
- 使用不可