Lability of R- and T-wave peaks in three-dimensional electrocardiograms in implantable cardioverter defibrillator patients with ventricular tachyarrhythmia during follow-up

Journal of Electrocardiology
Lichy Han, Larisa G Tereshchenko

Abstract

From experiments, we know that the heterogeneity of action potential duration and morphology is an important mechanism of ventricular tachyarrhythmia. Electrocardiogram (ECG) markers of repolarization lability are known; however, lability of depolarization has not been systematically studied. We propose a novel method for the assessment of variability of both depolarization and repolarization phases of the cardiac cycle. Baseline orthogonal ECGs of 81 patients (mean ± SD age, 56 ± 13 years; 61 male [75%]) with structural heart disease and implanted single-chamber implantable cardioverter defibrillator (ICD) were analyzed. Clean 30-beat intervals with absence of premature beats were then selected. Baseline wandering was corrected before analysis. Peaks of R wave and peaks of T wave were detected for each beat, and the axis magnitude was calculated. The peaks were plotted to show clouds of peaks and then used to construct a convex hull, and the volumes of the R peaks cloud and T peaks cloud and ratio of volumes were calculated. During a mean (SD) follow-up period of 13 (10) months, 9 of the 81 patients had sustained ventricular tachycardia or ventricular fibrillation (VT/VF) and received appropriate ICD therapies. All ICD events ...Continue Reading

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Citations

May 21, 2015·Biomedizinische Technik. Biomedical Engineering·Muhammad A Hasan, Derek Abbott
Feb 15, 2016·Journal of Electrocardiology·Albert Feeny, Larisa G Tereshchenko
Sep 8, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Larisa G TereshchenkoRonald D Berger
Oct 23, 2012·International Journal of Cardiology·Lichy HanLarisa G Tereshchenko
Nov 12, 2013·Journal of Electrocardiology·Joel Xue, Ian Rowlandson
Aug 14, 2013·Journal of Electrocardiology·Larisa G Tereshchenko
Aug 20, 2016·Journal of Electrocardiology·Mathias Baumert

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