Abstract:
:Many electrocardiographic criteria have been proposed for the differentiation of ventricular extrasystole and supraventricular conduction with aberrancy in atrial fibrillation but the validity of these have not been confirmed by intracardiac studies. We recorded His bundle electrograms in nineteen patients (eleven men, eight women) referred for diagnosis of abnormal QRS complexes in the context of chronic atrial fibrillation. Of 1,068 wide QRS complexes analyzed, 91% proved to be of ventricular origin. Electrocardiographic criteria which were specific for ventricular extrasystole included: left bundle branch block morphology, right bundle branch block morphology with a monophasic R in lead V1 or an RS or QS pattern in lead V6, presence of a "compensatory pause", i.e., compensatory cycle (V2-V3) longer than the average cycle length of ten normally conducted beats preceding the abnormal complex (927 +/- 317 vs 780 +/- 199, mean +/- SD in msec. p less than 0.005), frontal QRS axis of the abnormal complex directed superiorly or to the right and the presence of a "short-long" cycle sequence. Right bundle branch morphology with a triphasic R in lead V1 or QRS pattern in V6 and concordant initial vector in lead V1 or in more than one ECG leads were very specific for supraventricular conduction with aberrancy. Analysis of coupling interval and Ashman's phenomenon, i.e., the long-short cycle sequence, were not specific for supraventricular conduction with aberrancy. We conclude that in digitalis-treated patients with chronic atrial fibrillation the majority of abnormal QRS complexes are of ventricular origin. The diagnosis of ventricular extrasystole or aberrancy can be made using a single ECG lead (V1) and applying a combination of easily applied criteria.
journal_name
J Electrocardioljournal_title
Journal of electrocardiologyauthors
Gulamhusein S,Yee R,Ko PT,Klein GJdoi
10.1016/s0022-0736(85)80033-9subject
Has Abstractpub_date
1985-01-01 00:00:00pages
41-50issue
1eissn
0022-0736issn
1532-8430journal_volume
18pub_type
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pub_type: 杂志文章
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更新日期:2020-01-01 00:00:00
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更新日期:2012-07-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/s0022-0736(98)90298-9
更新日期:1998-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/0022-0736(90)90163-v
更新日期:1990-07-01 00:00:00
abstract::We found significant variation within each computer and cardiologist method for measurement of the ECG waveform intervals. Comparison between methods revealed that the HP system had a smaller variability than the MAC or the cardiologist, and that the MAC had a smaller variability than the cardiologist. No variability ...
journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/s0022-0736(07)80110-5
更新日期:1989-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2019.08.044
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/0022-0736(89)90082-4
更新日期:1989-04-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章,评审
doi:10.1016/j.jelectrocard.2010.05.014
更新日期:2010-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2005.08.009
更新日期:2006-04-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/s0022-0736(86)80017-6
更新日期:1986-04-01 00:00:00
abstract:AIM:The aim of this study was to investigate whether interventricular asynchrony (IVA) can be measured by electrocardiography. METHODS:Sixty-two patients (New York Heart Association heart failure functional class III: age, mean +/- SD: 64 +/- 9 years; ejection fraction, mean +/- SD: 24% +/- 8%; dilative cardiomyopathy...
journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2009.12.006
更新日期:2010-05-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/0022-0736(93)90052-f
更新日期:1993-10-01 00:00:00
abstract::Professional groups, endorsed by individual cardiologists involved in the practice of electrocardiology, have recently issued official policy statements declaring that there is no computer program for electrocardiographic interpretation that can replace interpretation by a skilled physician, and consequently, all comp...
journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::The behavior of the sino-atrial mechanism in isorhythmic dissociation (IRD) was studied in 21 patients, nine with spontaneous IRD and 12 with artificially pacemaker-induced IRD following electrode placement for heart block. Successive P-P, R-R and P-R intervals and blood pressure (BP) fluctuations were determined and ...
journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/s0022-0736(77)80052-6
更新日期:1977-04-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/0022-0736(88)90087-8
更新日期:1988-01-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1054/jelc.2001.28834
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:There is a controversy regarding the association between QRS width and ventricular arrhythmias (VAs). We hypothesized that predictive value of the QRS width could be improved if QRS width were considered in the context of the sum magnitude of the absolute QRST integral in 3 orthogonal leads sum absolute QRST...
journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2010.07.013
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:The present study investigates spatial properties of atrial fibrillation (AF) by analyzing vectorcardiogram loops synthesized from 12-lead electrocardiograms (ECGs). METHODS:After atrial signal extraction, spatial properties are characterized through analysis of successive, fixed-length signal segments and ...
journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2007.10.006
更新日期:2008-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/0022-0736(90)90165-x
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1054/jelc.2001.23358
更新日期:2001-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2010.02.003
更新日期:2010-05-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1054/jelc.2002.33766
更新日期:2002-07-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.jelectrocard.2018.10.083
更新日期:2018-01-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jelectrocard.2012.01.002
更新日期:2012-05-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/s0022-0736(81)81007-2
更新日期:1981-10-01 00:00:00
abstract::The authors present a case of trifascicular block: complete right bundle branch block, tachycardia-dependent left anterior hemiblock, and bradycardia-dependent left posterior hemiblock. There is, in addition, a complicating independent AV junctional rhythm that is in most instances not affected by the conducted sinus ...
journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/0022-0736(89)90037-x
更新日期:1989-07-01 00:00:00
abstract:OBJECTIVE:The aim of our study was to investigate the value of the transtelephonic electrocardiogram (TTECG) monitoring system during a "blanking period" of 3 months after ablation by analyzing the frequency of atrial arrhythmias episodes and the relationship between the frequency of atrial fibrillation (AF) attacks an...
journal_title:Journal of electrocardiology
pub_type: 杂志文章
doi:10.1016/j.jelectrocard.2010.06.007
更新日期:2010-11-01 00:00:00
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journal_title:Journal of electrocardiology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jelectrocard.2010.09.010
更新日期:2011-01-01 00:00:00
abstract::A patient who had chronic coarse atrial fibrillation developed severe hyperkalemia accompanied by total loss of fibrillatory waves while an irregularly irregular ventricular rhythm persisted. Correction of hyperkalemia resulted in prompt return of coarse atrial fibrillation. This sequence of events renders strong supp...
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pub_type: 杂志文章
doi:10.1016/s0022-0736(75)80040-9
更新日期:1975-01-01 00:00:00