T波
WordNet
- an undulating curve (同)undulation
- a persistent and widespread unusual weather condition (especially of unusual temperatures); "a heat wave"
- set waves in; "she asked the hairdresser to wave her hair"
- a movement like that of a sudden occurrence or increase in a specified phenomenon; "a wave of settlers"; "troops advancing in waves"
- one of a series of ridges that moves across the surface of a liquid (especially across a large body of water) (同)moving ridge
- (physics) a movement up and down or back and forth (同)undulation
- the act of signaling by a movement of the hand (同)waving, wafture
- a hairdo that creates undulations in the hair
- something that rises rapidly; "a wave of emotion swept over him"; "there was a sudden wave of buying before the market closed"; "a wave of conservatism in the country led by the hard right"
- the 20th letter of the Roman alphabet (同)t
- a member of the womens reserve of the United States Navy; originally organized during World War II but now no longer a separate branch
- a tough youth of 1950s and 1960s wearing Edwardian style clothes (同)Teddy boy
PrepTutorEJDIC
- (前後左右・上下に)『揺れる』,ひらめく,ひらひらする / (波形に)『起伏する』,うねる / (手・旗などを振って)『合図する』,手を振る;(…のために,…に向かって)手を振る《+in(to, at)+名》 / (に向かって)‘…を'振る,揺り動かす,ひらめかす《+名+at+名》 / 《方向を表す副詞[句]を伴って》(手・旗などを振って)〈人〉‘に'『合図する』 / ‘…を'起伏させる,うねらせる:〈頭髪〉‘を'ウエーブさせる / 『波』,波浪 / (…の)『波のような動き』,うねり《+of+名》 / (感情・景気などの一時的な)高まり,強まり;(寒暑の)急激な波《+of+名》 / (手・旗などを)振ること,振ってする合図;(…を)振ること《+of+名》 / (髪の)縮れ,ウエーブ / (光・音・電気などの)波
- tritiumの化学記号
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/07/08 15:16:52」(JST)
[Wiki en表示]
For the electromagnetic waves sometimes referred to as T-waves, see Terahertz radiation.
Schematic representation of normal ECG
In Electrocardiography, the T wave represents the repolarization (or recovery) of the ventricles. The interval from the beginning of the QRS complex to the apex of the T wave is referred to as the absolute refractory period. The last half of the T wave is referred to as the relative refractory period (or vulnerable period). The T wave contains more information than the QT interval. The T wave can be described by its symmetry, skewness, slope of ascending and descending limbs, amplitude and subintervals like the Tpeak–Tend interval.[1]
In most leads, the T wave is positive. This is due to the repolarization of the membrane. During ventricle contraction (QRS wave), the heart depolarizes. Repolarization of the ventricle happens in the opposite direction of depolarization and is negative current. This double negative (direction and charge) is why the T wave is positive; although the cell becomes more negatively charged, the net effect is in the positive direction, and the ECG reports this as a positive spike.[2] However, a negative T wave is normal in lead aVR. Lead V1 may have a positive, negative, or biphasic (positive followed by negative, or vice versa) T wave. In addition, it is not uncommon to have an isolated negative T wave in lead III, aVL, or aVF.
Clinical significance
- T-wave inversion (negative T waves) can be a sign of coronary ischemia, Wellens' syndrome, left ventricular hypertrophy, or CNS disorder.
- A periodic beat-to-beat variation in the amplitude or shape of the T wave may be termed T wave alternans.
- Tall and narrow ("peaked" or "tented") symmetrical T waves may indicate hyperkalemia.
- Flat T waves (less than 1 mV in the limb leads and less than 2 mV in the precordial leads)[3] may indicate coronary ischemia or hypokalemia[3]
- The earliest electrocardiographic finding of ST-elevation MI (STEMI) acute myocardial infarction is sometimes the hyperacute T wave, which can be distinguished from hyperkalemia by the broad base and slight asymmetry. This may also be seen in Prinzmetal angina.
- When a bundle branch block is present, the T wave should be deflected opposite the terminal deflection of the QRS complex. This is known as appropriate T wave discordance.
Frequency of inverted T-waves in precordial leads (lead V1 to V6) according to gender and age
Numbers from Lepeschkin E in [4]
|
Age (ethnicity) |
n |
V1 |
V2 |
V3 |
V4 |
V5 |
V6 |
Children |
|
1 week - 1 y |
210 |
92% |
74% |
27% |
20% |
0.5% |
0% |
|
1 y - 2 y |
154 |
96% |
85% |
39% |
10% |
0.7% |
0% |
|
2 y - 5 y |
202 |
98% |
50% |
22% |
7% |
1% |
0% |
|
5 y - 8 y |
94 |
91% |
25% |
14% |
5% |
1% |
1% |
|
8 y - 16 y |
90 |
62% |
7% |
2% |
0% |
0% |
0% |
Males |
|
|
|
|
|
|
|
|
|
12 y - 13 y |
209 |
47% |
7% |
0% |
0% |
0% |
0% |
|
13 y - 14 y |
260 |
35% |
4.6% |
0.8% |
0% |
0% |
0% |
|
16 y - 19 y (whites) |
50 |
32% |
0% |
0% |
0% |
0% |
0% |
|
16 y - 19 y (blacks) |
310 |
46% |
7% |
2.9% |
1.3% |
0% |
0% |
|
20 - 30 y (whites) |
285 |
41% |
0% |
0% |
0% |
0% |
0% |
|
20 - 30 y (blacks) |
295 |
37% |
0% |
0% |
0% |
0% |
0% |
Females |
|
|
|
|
|
|
|
|
|
12 y - 13 y |
174 |
69% |
11% |
1.2% |
0% |
0% |
0% |
|
13 y - 14 y |
154 |
52% |
8.4% |
1.4% |
0% |
0% |
0% |
|
16 y - 19 y (whites) |
50 |
66% |
0% |
0% |
0% |
0% |
0% |
|
16 - 19 y (blacks) |
310 |
73% |
9% |
1.3% |
0.6% |
0% |
0% |
|
20 - 30 y (whites) |
280 |
55% |
0% |
0% |
0% |
0% |
0% |
|
20 - 30 y (blacks) |
330 |
55% |
2.4% |
1% |
0% |
0% |
0% |
References
- ^ Haarmark C, Graff C, Andersen MP et al. (2010). "Reference values of electrocardiogram repolarization variables in a healthy population". Journal of Electrocardiology 43 (1): 31–9. doi:10.1016/j.jelectrocard.2009.08.001. PMID 19740481.
- ^ http://www.kumc.edu/AMA-MSS/Study/phys2.htm
- ^ a b Loyola University Chicago Stritch School of Medicine. > EKG Interpretive skills Retrieved on April 22, 2010
- ^ Antaloczy, Z (1979). Modern Electrocardiology. Amsterdam: Excerpta Medica. p. 401.
UpToDate Contents
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English Journal
- Individual social capital, neighbourhood deprivation, and self-rated health in England.
- Verhaeghe PP, Tampubolon G.SourceGhent University, Health and Demographic Research Centre, Korte Meer 5, 9000 Ghent, Belgium.
- Social science & medicine (1982).Soc Sci Med.2012 Jul;75(2):349-57. Epub 2012 Apr 19.
- Individual social capital is increasingly considered to be an important determinant of an individual's health. This study examines the extent to which individual social capital is associated with self-rated health and the extent to which individual social capital mediates t.he relationship between n
- PMID 22560798
- Effect of Zn impurity in K(0.8)Fe(2-δ-x)Zn(x)Se(2).
- Li YK, Shen CY, Guo HJ, Lv C, Yang XJ, Zhang L, Luo YK, Cao GH, Xu ZA.SourceDepartment of Physics and State Key Laboratory of Silicon Materials, Zhejiang University, Hangzhou 310027, People's Republic of China. Department of Physics, Hangzhou Normal University, Hangzhou 310036, People's Republic of China.
- Journal of physics. Condensed matter : an Institute of Physics journal.J Phys Condens Matter.2012 Jun 13;24(23):232202. Epub 2012 May 15.
- A series of K(0.8)Fe(2-δ-x)Zn(x)Se(2) single-crystal samples with nominal compositions 0 ≤ x ≤ 0.05 were grown and their physical properties were measured in order to study the effect of Zn impurity. It is found that the Zn impurity (x ≤ 0.02) does not affect the superconducting transit
- PMID 22588053
Japanese Journal
- 病いにおける「他者性」と「同一性」 : 超越と変容へのダイナミクス
- 田中 崇恵
- 京都大学大学院教育学研究科紀要 58, 221-231, 2012-04-27
- … Illness is thoght to wave between "Otherness" and "identity", and it brings transcendence and transformation to the person who has illness. …
- NAID 120004079464
- Trajectories of fluid particles in a periodic water wave.
- Okamoto Hisashi,Shoji Mayumi
- Philosophical transactions. Series A, Mathematical, physical, and engineering sciences 370(1964), 1661-1676, 2012-04-13
- … We compute trajectories of fluid particles in a water wave that propagates with a constant shape at a constant speed. … The Stokes drift, which asserts that fluid particles are pushed forward by a wave, is proved using a new method. …
- NAID 120003988359
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Related Pictures
★リンクテーブル★
[★]
- 英
- T wave
- 同
- 再分極波 repolarization wave
- 関
- Ta波、冠性T波、心電図、ST-T変化
- see 心電図の読み方パーフェクトマニュアルp.36
T波の電気生理
- 心室筋の再分極相に一致して記録される心電図上の電位変化。通常QRS波と同じ極性となる → 心室筋の再分極の方向は脱分極の方向と逆なため
- 正常な心室筋の再分極の方向は、脱分極の逆。
-
- なぜ、心内膜側で再分極が遅れるのか → 左室壁側にうける圧力の差により、心内膜下側の興奮時間が延長するのではないか。
正常のT波 心電図の読み方パーフェクトマニュアルp.36
- I,II,V2-V6:陽性
- aVR:陰性
- III,aVL,aVF,V1では陰性でもいい
- 高さ:12mm未満かつ、R波の1/10以上の高さ
- 若年者ではV2,V3に陰性T波がみられることがある。若年T波 juvenile T wave
T波の異常
- (未分類)
- 急性心筋梗塞超急性期:上行脚が上に凸のT波
- 高カリウム血症:テント状T
- その他疾患:僧帽弁狭窄症、脳血管障害急性期、急性心膜血腫
- 非特異的変化:体位、運動、過呼吸
異常
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