Vectorcardiograms from 205 normal children aged 1 month to 15 years were studied, and the following results were obtained.
(1) Orientation and magnitude of the maximal QRS and T vector : The maximal QRS vectors of infants and small children pointed toward the left and front, and those of older children also pointed toward the left but to the rear. By contrast, the maximal T vectors of infants and small children were directed toward the left and rear, and those of older children leftward and anteriorly.The magnitudes of QRS vectors were greatest between the ages of 6 and 15 years, being up to 2.0 mV.
(2) Frequency of open QRS loop and the magnitude of its ST vector : Open QRS loop was found in 116 of the 205 cases (56.6%), and its mean ST vector was 0.068 mV. Of these open QRS loop case ST vector over 0.1 mV were shown in 11 cases, but all of these were less than 0.17 mV, and pointed toward the front, left and low.
(3) Maximal length-to-width ratio of the spatial T loop (L/W) : The mean L/W of T loop in these children was 9.4, which is larger than that of adults. That of infants was smaller than that of older children.
(4) Spatial QRS-T angle : The spatial QRS-T angle was large in infants and gradually became smaller with age.
(5) Magnitude of QRS-vector-to-T-vector ratio (QRS/T) : QRS/T ratio was large in infants, but approached that found in adults one with increasing age.
Both the 5th percentile lower limits of L/W of the T loop and the 95th percentile upper limits of the QRS-T angle thus seem to be indicators of abnormality in each age group.
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