Signal Averaged Electrocardiography of Japanese.

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  • OZAWA Yukio
    Second Department of Internal Medicine, Nihon University, School of Medicine, Tokyo, Japan

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Although studies show that the ventricular techycardia and sudden dardiac deaths caused by ischemic heart diseases affect Japanese less than Westerners, predictive accuracy of the signal averaged ECG for ventricular tachycardia and sudden cardiac deaths are almost the same as the results for Westerners. The recent prognosis of ischemic heart diseases is showing improvements along with the development of re-perfusion therapy, which is changing the significance of the signal averaged ECG. Therefore a clinical use for signal averaged ECG should be discussed in cases of cardiomyopathy which cause sudden cardiac deaths and other heart diseases. So it is necessary to redetermine normal values of the signal averaged ECG parameters. In this article, the following was reviewed on the basis of our studies regarding the clinical significance of the signal averaged ECG of Japanese and normal signal averaged ECG values. (1) System and gender specific differences on signal averaged ECG of Japanese, (2) His-Purkinje system, pre-P deflection and atrial late potential on signal averaged ECG, (3) Ventricular late potentials of Japanese.

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