[Electrocardiographic findings in arrhythmogenic right ventricular dysplasia (ARVD) evaluated by body surface mapping]. 1995

Y Okano
Department of Internal Medicine, National Cardiovascular Center.

Electrocardiographic characteristics evaluated by body surface mapping were investigated, comparing with the other clinical findings. Isopotential maps were abnormal at the end of QRS period when the positive area persisted in the anterior middle and lower chest. VAT was also prolonged in these area. Post excitation (Epsilon) waves appeared at that period in accordance with the rapid potential change on upper anterior chest which reflected right ventricular conduction delay. There was no difference in electrophysiologic findings in patients with or without Epsilon waves. Negative potentials were present on the anterior chest in ST-T isopotential, ST-T and QRST isointegral maps in all of the patients. The area of these negative potentials was closely correlated with RV dilatation and dysfunction. It is concluded that Epsilon waves are not the direct counterpart of delayed potentials, but the reflection of the peripheral induction delay, and that primary change seems to play large part of the genesis in negative T waves.

UI MeSH Term Description Entries
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001145 Arrhythmias, Cardiac Any disturbances of the normal rhythmic beating of the heart or MYOCARDIAL CONTRACTION. Cardiac arrhythmias can be classified by the abnormalities in HEART RATE, disorders of electrical impulse generation, or impulse conduction. Arrhythmia,Arrythmia,Cardiac Arrhythmia,Cardiac Arrhythmias,Cardiac Dysrhythmia,Arrhythmia, Cardiac,Dysrhythmia, Cardiac
D018497 Ventricular Dysfunction, Right A condition in which the RIGHT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE or MYOCARDIAL INFARCTION, and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the right ventricular wall. Right Ventricular Dysfunction,Dysfunction, Right Ventricular,Dysfunctions, Right Ventricular,Right Ventricular Dysfunctions,Ventricular Dysfunctions, Right
D018780 Body Surface Potential Mapping Recording of regional electrophysiological information by analysis of surface potentials to give a complete picture of the effects of the currents from the heart on the body surface. It has been applied to the diagnosis of old inferior myocardial infarction, localization of the bypass pathway in Wolff-Parkinson-White syndrome, recognition of ventricular hypertrophy, estimation of the size of a myocardial infarct, and the effects of different interventions designed to reduce infarct size. The limiting factor at present is the complexity of the recording and analysis, which requires 100 or more electrodes, sophisticated instrumentation, and dedicated personnel. (Braunwald, Heart Disease, 4th ed) Body Surface Mapping,Body Surface Mappings,Mapping, Body Surface,Mappings, Body Surface,Surface Mapping, Body,Surface Mappings, Body

Related Publications

Copied contents to your clipboard!