ISSN:
1432-1254
Source:
Springer Online Journal Archives 1860-2000
Topics:
Geography
,
Physics
Notes:
Abstract Parameters computed from electrocardiographic recordings (mean frontal QRS axis, â QRS, positive (R-S) difference in lead V1, incidence of atypical conduction pattern in V1) were compared: (1) in two populations residing at the same altitude (3 800 m) but in different geographical sites: Aymaras in Bolivia and Tibetans in Nepal, (2) in three groups of Bolivians dwellers, ethnically similar and fully acclimatized, at three altitudes (4 780 m, 3 800 m, 400 m). This work involved 661 subjects. Results: (a) The mean â QRS value in highlanders is shifted to the right when compared to that of lowlanders: the right axis deviation increases with altitude, (b) The mean â QRS value is identical in Bolivian and Tibetan groups living at the same altitude, (c) The axis deviates to the left with aging in all the environmental conditions. This migration is accompanied by a lower incidence of positive (R-S) difference in adults compared to younger subjects, (d) The mean â QRS value of the females is always situated to the left of that males for all age groups. This difference receives a possible confirmation by the lower incidence of atypical complexes in V1 in females, (e) The present values of â QRS as well as others found in the litterature and those of mean pulmonary arterial pressure reported by different authors have been plotted, both as a function of elevation: The two relationships can be described by two linear functions with a point of intersection. Such points suggest an altitude threshold above which a further decrease in barometric pressure results in marked cardiovascular responses. They are both located in the vicinity of 2 500 m.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02184520
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