STENOSI POLMONARE ISOLATA. ASPETTI ELETTROCARDIOGRAFICI A DISTANZA DI 10-25 ANNI DAL TRATTAMENTO CHIRURGICO

Translated title of the contribution: Isolated pulmonary stenosis: ECG aspects 10/25 years after surgery

P. Presbitero, P. Santarelli, F. Possati, P. Rispoli, A. Calafiore, G. Gobbi, R. Lino, F. Ferrero

Research output: Contribution to journalArticle

Abstract

108 patients operated with various techniques for isolated valvular and/or subvalvular stenosis of the pulmonary artery were studied 10-25 yr after operation from the ECG viewpoint. ECG was found to be changed in 73% of subjects, with a rather higher incidence in those operated on with open heart (79%) and in those subjected to infundibular resection (82%). A high percentage of patients (49%) presented a single ECG change, generally represented by an usually incomplete right branch block, while only in 9% were more than two changes encountered. A 'pulmonary' P was present in 5%. The electrical axis of the heart was directed at about +75% on average: left axial deviation was rare; right axial deviation of more than +110° occurred in 10% of patients. Signs of slight or moderate right ventricular hypertrophy were observed in 18% of the ECGs and were more frequent in patients who had undergone infundibular resection (33%). Changes in the recovery phase were rare and were generally represented by a reversal of the T wave in the right precordials. The most frequent ECG abnormality was right branch block which was seen in 63% of cases (83% in those operated on by infundibular resection) commonly (82%) in incomplete form. The ECG aspects are correlated with clinical and radiological aspects. The pathogenesis of the changes observed is discussed.

Original languageItalian
Pages (from-to)389-400
Number of pages12
JournalMinerva Cardioangiologica
Volume28
Issue number6
Publication statusPublished - 1980

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Pulmonary Valve Stenosis
Electrocardiography
Right Ventricular Hypertrophy
Pulmonary Artery
Pathologic Constriction
Lung
Incidence

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Presbitero, P., Santarelli, P., Possati, F., Rispoli, P., Calafiore, A., Gobbi, G., ... Ferrero, F. (1980). STENOSI POLMONARE ISOLATA. ASPETTI ELETTROCARDIOGRAFICI A DISTANZA DI 10-25 ANNI DAL TRATTAMENTO CHIRURGICO. Minerva Cardioangiologica, 28(6), 389-400.

STENOSI POLMONARE ISOLATA. ASPETTI ELETTROCARDIOGRAFICI A DISTANZA DI 10-25 ANNI DAL TRATTAMENTO CHIRURGICO. / Presbitero, P.; Santarelli, P.; Possati, F.; Rispoli, P.; Calafiore, A.; Gobbi, G.; Lino, R.; Ferrero, F.

In: Minerva Cardioangiologica, Vol. 28, No. 6, 1980, p. 389-400.

Research output: Contribution to journalArticle

Presbitero, P, Santarelli, P, Possati, F, Rispoli, P, Calafiore, A, Gobbi, G, Lino, R & Ferrero, F 1980, 'STENOSI POLMONARE ISOLATA. ASPETTI ELETTROCARDIOGRAFICI A DISTANZA DI 10-25 ANNI DAL TRATTAMENTO CHIRURGICO', Minerva Cardioangiologica, vol. 28, no. 6, pp. 389-400.
Presbitero P, Santarelli P, Possati F, Rispoli P, Calafiore A, Gobbi G et al. STENOSI POLMONARE ISOLATA. ASPETTI ELETTROCARDIOGRAFICI A DISTANZA DI 10-25 ANNI DAL TRATTAMENTO CHIRURGICO. Minerva Cardioangiologica. 1980;28(6):389-400.
Presbitero, P. ; Santarelli, P. ; Possati, F. ; Rispoli, P. ; Calafiore, A. ; Gobbi, G. ; Lino, R. ; Ferrero, F. / STENOSI POLMONARE ISOLATA. ASPETTI ELETTROCARDIOGRAFICI A DISTANZA DI 10-25 ANNI DAL TRATTAMENTO CHIRURGICO. In: Minerva Cardioangiologica. 1980 ; Vol. 28, No. 6. pp. 389-400.
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