[Vectorcardiographic study in elderly subjects with a normal ECG (author's transl)]. 1981

D Tullio, and F D'Agostino, and A Valerio

In order to estimate if the elderly subjects with a normal ECG present vectorcardiographic (VCG) changes, were analyzed the VCG of 35 patients of age between 65 and 84 years with a normal ECG, negative anamnesis, objective cardiovascular examination and no radiological alteration of the cardiac image. These patients were divided in two groups according to the age: the first included 20 patients of age between 65 and 74 years, the second 15 patients between 75 and 84 years. A group of control with an average variable between 40 and 59 years, was also examined. The P, QRS and T loops were examined. The P loop, with a lessened magnitude (mV), particularly in second group, was directed inferiorly and anteriorly as regards controls, with initial, middle and/or terminal slurrings. On the QRS loop, in second group, were found the following changes: the Initial Vectors are directed inferiorly and anteriorly, the Maximum Spatial Vector more superiorly and anteriorly and Terminal Vectors more superiorly and posteriorly therefore the loop appeared frequently distorted on the frontal plane. The loop, with a lessened magnitude, particularly in second group, more frequently counter-clockwise inscripted on the frontal plane. Time of occurrence of Maximum QRS Vector (msec) was found more precocious. The T loop, with a lessened magnitude, particularly in second group, resulted slightly deviated inferiorly and anteriorly. The observed changes appeared modest and of a kind more quantitative, that is expressed by changes in the magnitude and relation between different vectorial groups, than qualitative, that is in relation to changes in the orientation and succession of such vectors. These changes, more frequent in the second group patients, don't give generally problems of differential diagnosis with the myocardial infarcts, hypertrophies or conduction disturbances. They are likely in relation to histological and/or metabolic changes in the myocardium common tipic of old age and in a lesser degree to anatomic and haemodynamic changes in the senile heart.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004562 Electrocardiography Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY. 12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D005260 Female Females
D006321 Heart The hollow, muscular organ that maintains the circulation of the blood. Hearts
D006331 Heart Diseases Pathological conditions involving the HEART including its structural and functional abnormalities. Cardiac Disorders,Heart Disorders,Cardiac Diseases,Cardiac Disease,Cardiac Disorder,Heart Disease,Heart Disorder
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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