The effect of exercise on the ECG criteria for early repolarization pattern.

Abstract:

OBJECTIVE:To determine the effect of exercise and heart rate on the early repolarization (ER) pattern; focusing on the new criteria for identification of ER. METHODS:The ECG measurements on the terminal QRS notch or slur found in early repolarization were quantitated before, during and after exercise; specifically: (i) the amplitude at the onset of the notch (Jo) (ii) the amplitude at the peak of the notch (Jp), (iii) the amplitude at the end of the notch (Jt), (iv) the duration from Jo to Jp (D1) and (v) the duration from Jo to Jt (D2). RESULTS:All individuals (N = 21) fulfilling the criteria for ER showed complete disappearance of ER after 3 min of exercise. After 5 min of recovery, 29% of subjects showed return of the ER. The return of ER was dynamic with QRS notching of varying extent, without ST elevation, being evident first. The relationship between heart rate and ER was significant and nonlinear, best fit by a second-order polynomial, suggesting that changes in heart rate with exercise was a factor influencing the presence of the ER pattern and the parameters that define ER. CONCLUSION:Each of the newly defined characteristics of the ER are modified and eventually disappear with exercise. The return of ER was dynamic with QRS notching of varying extent being evident first. The changes correlated with variations in heart rate, during both exercise and recovery, suggesting, in part, a role in the underlying mechanism of ER.

journal_name

J Electrocardiol

authors

Nouraei H,Rabkin SW

doi

10.1016/j.jelectrocard.2019.03.005

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

59-64

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(18)30910-5

journal_volume

55

pub_type

杂志文章
  • Improvement of P wave dispersion after cardiac resynchronization therapy for heart failure.

    abstract:OBJECTIVE:The purpose of this study is to investigate the effect of cardiac resynchronization therapy (CRT) on P wave maximum duration (PWM) and P wave dispersion (PWD) in patients with advanced heart failure. METHODS:Forty-six patients (33 men; mean age, 60 +/- 11 years) with CRT were enrolled in the present study. P...

    journal_title:Journal of electrocardiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jelectrocard.2009.02.005

    authors: Ding L,Hua W,Zhang S,Chu J,Chen K,Wang F,Chen X

    更新日期:2009-07-01 00:00:00

  • Unplanned transfer from the telemetry unit to the intensive care unit in hospitalized patients with suspected acute coronary syndrome.

    abstract:BACKGROUND:Most patients presenting with suspected acute coronary syndrome (ACS) are admitted to telemetry units. While telemetry is an appropriate level of care, acute complications requiring a higher level of care in the intensive care unit (ICU) occur. PURPOSE:Among patients admitted to telemetry for suspected ACS,...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2016.08.010

    authors: Pelter MM,Loranger D,Kozik TM,Fidler R,Hu X,Carey MG

    更新日期:2016-01-01 00:00:00

  • Discordant vs. concordant left bundle branch block: A potential clinical significance.

    abstract:AIM:LBBB in heart failure patients has prognostic significance. Subtypes of LBBB (concordant and discordant) have not been considered when considering management. The aim of this study is to explore the clinical difference between the two subtypes. METHODS:216 patients with LBBB were included and categorized into conc...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2015.08.031

    authors: Khalil J,Bernard AS,Maurice K,Zaheer Y,Marwan R,Abdallah R,Samir A,Hadi S

    更新日期:2016-01-01 00:00:00

  • A global display of the heart vector (spherocardiogram). Applicability of vector-and polarcardiographic infarct criteria.

    abstract::The spatial loop of the heart vector can be projected on the Aitoff projection of the globe. The complete information that is contained in the orthogonal leads in displayed on a single graph when the vector magnitudes are indicated by the diameter of circles drawn around the vector projection in short time intervals (...

    journal_title:Journal of electrocardiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0022-0736(77)80007-1

    authors: Niederberger M,Joskowicz G

    更新日期:1977-01-01 00:00:00

  • Electrocardiogram of acute ST-elevation myocardial infarction: the significance of the various "scores".

    abstract::The Electrocardiogram has extensively been used for evaluation and triage of patients with acute chest pain. The clinician admitting a patient with ST elevation acute myocardial infarction should be able to estimate the size and location of the ischemic area at risk, how much of the ischemic myocardium has already und...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2005.01.003

    authors: Birnbaum Y,Ware DL

    更新日期:2005-04-01 00:00:00

  • Computer analysis of the spatial angular parameters of the canine QRSsE loop from necropsy-verified normal dogs.

    abstract::Vectorcardiograms were recorded by the canine modification of the axial lead system of McFee and Parungao from 38 necropsy-verified normal dogs placed in the recommended position of right lateral recumbency. A digital computer program was used to identify and analyze the spatial characteristics of the QRSsE loop. In o...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(83)80004-1

    authors: Musselman EE

    更新日期:1983-07-01 00:00:00

  • Sudden QRS morphology change during ventricular pacing in a scar-related isthmus What is the mechanism?

    abstract::We present an example of sudden modification in QRS morphology during ventricular pacing inside a scar-related isthmus. This is explained by a "concealed" sudden block in both the orthodromic and antidromic wavefront directions, allowing then the activation to proceed through a now overt antidromic conduction. ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2016.07.035

    authors: Maury P,Rollin A,Sellal JM,Duparc A,Mondoly P,Cardin C,De Chillou C

    更新日期:2016-01-01 00:00:00

  • Limitations of exercise testing in critical left coronary artery disease.

    abstract::Exercise testing was evaluated in 51 patients with critical left coronary artery disease (LCA) documented by coronary arteriography within two weeks of their bicycle ergometer (26 patients) or treadmill (25 patients) electrocardiographic study. Adequate tests, as defined by the patient having reached 85% of predicted ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(79)80057-6

    authors: Timmis GC,Westveer DC,Gordon S,Ramos RG,Gangadharan V

    更新日期:1979-07-01 00:00:00

  • Hemodynamic implications of left bundle branch block.

    abstract::Left bundle branch block (LBBB), traditionally viewed as an electrophysiologic abnormality, is increasingly recognized for its profound hemodynamic effects. LBBB causes asynchronous myocardial activation, which, in turn, may trigger ventricular remodeling. Exercise nuclear studies frequently show reversible perfusion ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章,评审

    doi:10.1054/jelc.2000.20330

    authors: Littmann L,Symanski JD

    更新日期:2000-01-01 00:00:00

  • The WCT Formula II: An effective means to automatically differentiate wide complex tachycardias.

    abstract:BACKGROUND:Differentiation of wide complex tachycardias (WCTs) into ventricular tachycardia (VT) or supraventricular wide complex tachycardia (SWCT) using conventional manually-operated electrocardiogram (ECG) interpretation methods is difficult. Recent research has shown that accurate WCT differentiation may be accomp...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2020.05.004

    authors: Kashou AH,DeSimone CV,Deshmukh AJ,McGill TD,Hodge DO,Carter R,Cooper DH,Cuculich PS,Noheria A,Asirvatham SJ,Noseworthy PA,May AM

    更新日期:2020-01-01 00:00:00

  • Using inverse electrocardiography to image myocardial infarction--reflecting on the 2007 PhysioNet/Computers in Cardiology Challenge.

    abstract::The goal of the 2007 PhysioNet/Computers in Cardiology Challenge was to try to establish how well it is possible to characterize the location and extent of old myocardial infarcts using electrocardiographic evidence supplemented by anatomical imaging information. A brief overview of the challenge and how different cha...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2008.07.022

    authors: Dawoud F,Wagner GS,Moody G,Horácek BM

    更新日期:2008-11-01 00:00:00

  • Evaluation of index of cardiac-electrophysiological balance before and after hemodialysis in patients with end-stage renal disease.

    abstract:BACKGROUND:Ventricular arrhythmias and sudden cardiac deaths are the most common cause of mortality in patients with end-stage renal disease (ESRD). Index of cardiac-electrophysiological balance (iCEB) (QT/QRS) may predict malignant ventricular arrhythmias. In this study, we investigated whether iCEB value is increased...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2019.03.011

    authors: Sivri S,Çelik M

    更新日期:2019-01-01 00:00:00

  • Self-terminating ventricular fibrillation recorded by an implantable loop recorder as a cause of syncope - A case report.

    abstract::Ventricular fibrillation (VF) is the most common arrhythmia leading to sudden cardiac death, but in rare cases VF can manifest as a syncope, provided that it will self-terminate. We present a case of a 45-year old female with a history of unexplained syncopal episodes despite exhaustive diagnostics. Implantable loop r...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2018.04.006

    authors: Przyżycka P,Kałowski M,Poddębska I,Kaczmarek K,Ptaszyński P,Wranicz JK,Cygankiewicz I

    更新日期:2018-01-01 00:00:00

  • Electrocardiographic prediction of lateral involvement in acute non-anterior wall myocardial infarction.

    abstract:PURPOSE:Recent research has established that a tall R-wave in V1 indicates lateral wall involvement in non-anterior wall myocardial infarction (MI). The objective of this study was to assess the value of the admission electrocardiogram (ECG) to predict R-waves and consequently lateral wall damage in the late phase of n...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2015.02.005

    authors: Norda S,van der Weg K,Vos R,Gorgels AP

    更新日期:2015-07-01 00:00:00

  • Junctional ectopic tachycardia in late period after early postoperative complete atrioventricular block: Messenger of return to normal sinus rhythm? : Explanation with four case series.

    abstract::Junctional ectopic tachycardia(JET) is a rare childhood arrhythmia originating from the area adjacent to the atrioventricular(AV) node. It often occurs after surgical procedures like repair of Tetralogy of Fallot, atrioventricular septal defect and ventricular septal defect, which are all performed in that area. While...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2017.01.015

    authors: Ozyilmaz I,Ergul Y,Ozyilmaz S,Guzeltas A

    更新日期:2017-01-01 00:00:00

  • Spectrotemporal and spectral turbulence analysis of the signal-averaged P wave in paroxysmal atrial fibrillation.

    abstract::Patients with paroxysmal atrial fibrillation (AF) have greater overall P wave magnitude than control subjects, but the temporal localization of the increased energy is unknown. P wave spectral turbulence has not been investigated in such patients, and the optimum methodology for studying P wave signals has not been de...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(97)80013-1

    authors: Stafford PJ,Vincent R

    更新日期:1997-04-01 00:00:00

  • Segmentation of the left ventricular endocardium from magnetic resonance images by using different statistical shape models.

    abstract::We evaluate in this paper different strategies for the construction of a statistical shape model (SSM) of the left ventricle (LV) to be used for segmentation in cardiac magnetic resonance (CMR) images. From a large database of LV surfaces obtained throughout the cardiac cycle from 3D echocardiographic (3DE) LV images,...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2016.03.017

    authors: Piazzese C,Carminati MC,Colombo A,Krause R,Potse M,Auricchio A,Weinert L,Tamborini G,Pepi M,Lang RM,Caiani EG

    更新日期:2016-05-01 00:00:00

  • Noninvasive risk stratification in postinfarction patients with severe left ventricular dysfunction and methodology of the MADIT II noninvasive electrocardiology substudy.

    abstract::Sudden cardiac death occurs as a result of a complex interplay of changes in myocardial substrate, imbalance of autonomic regulation of the heart, and myocardial vulnerability. Noninvasive electrocardiology serves as a comprehensive tool for investigating factors representing mechanistic pathways leading to cardiac ev...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jelectrocard.2003.09.022

    authors: Zareba W,Moss AJ

    更新日期:2003-01-01 00:00:00

  • Computer characterization of sinus rhythm.

    abstract::Sinus rhythm tracings, including sinus tachycardia and bradycardia, are characterized quantitatively by means of an ECG measurement program which has been subjected to rigorous evaluation. The analysis is performed on tracings of short duration (10 sec). The features of regularity and stability are considered for the ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(76)80063-5

    authors: LeBlanc AR,Nadeau RA,Roberge FA

    更新日期:1976-04-01 00:00:00

  • QRS aberration during atrial fibrillation at rest and during exercise. Effect of a selective potassium channel blocking agent.

    abstract::This study assesses the occurrence of and identifies clinical characteristics associated with the development of aberrant conduction during infusion of the I(kr)-blocker almokalant. Class III drugs may induce aberrant conduction by prolongation of cardiac repolarization, especially during atrial fibrillation (AF). Nin...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1054/jelc.2002.33766

    authors: Houltz B,Darpö B,Crijns HJ,Swedberg K,Blomström P,Jensen SM,Svernhage E,Edvardsson N

    更新日期:2002-07-01 00:00:00

  • The sick sinus syndrome. A study of 50 cases.

    abstract::The long term prognosis was studied in 50 patients treated for the sick sinus syndrome with pacemaker insertion. The mean age of the patients was 71 years. There were 31 females and 19 males in the series. Nine patients (18%) died during the average follow-up period of 19 months. Dizzy and syncopal episodes were aboli...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(78)80023-5

    authors: Gould L,Reddy CV,Becker WH

    更新日期:1978-01-01 00:00:00

  • Transfer of coupling of premature ventricular contractions to an ectopic ventricular tachycardia: a mechanism for atypical bidirectional tachycardia.

    abstract::Bidirectional tachycardia was observed on Holter tracings recorded from a dog three days after the production of a small freeze lesion on the wall of the left ventricle. A bigeminal rhythm with fixed coupling of ventricular premature contractions was interrupted by a burst of ventricular tachycardia of different morph...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(79)80046-1

    authors: Klein GJ,Wallace AG,Gallagher JJ

    更新日期:1979-01-01 00:00:00

  • Electrophysiologic properties differ in the ventricular endocardium and epicardium of the Japanese monkey.

    abstract::We measured action potential duration (APD) from the endocardium (Endo) and epicardium (Epi) of the left ventricular free wall in Japanese monkey hearts and found that the APD of Endo is significantly longer than that of Epi at a stimulus cycle length of 1500 msec in normal Tyrode solution (control condition). We then...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(87)80015-8

    authors: Imanishi S,Arita M

    更新日期:1987-07-01 00:00:00

  • Inferior Q waves in apparently healthy subjects: Should we take a deep breath? An electrocardiographic, echocardiographic and cardiac magnetic resonance study.

    abstract:AIM:To evaluate the diagnostic accuracy of electrocardiographic inferior Q waves persistence during inspiration and echocardiographic segmental wall motion abnormalities for the detection of previously unsuspected silent myocardial infarction, by using cardiac magnetic resonance as the gold standard. METHODS:We prospe...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2015.08.026

    authors: Nanni S,Lovato L,Vagnarelli F,Ghetti G,Ferlito M,Pasquale F,Russo V,Zompatori M,Bacchi Reggiani L,Semprini F,Taglieri N,Melandri G,Rapezzi C

    更新日期:2016-01-01 00:00:00

  • Critical evaluation of the twin peaked P wave ("pseudo-P mitrale") in orthogonal electrocardiograms.

    abstract::The present study was performed to evaluate the specificity of twin peaked P wave (TWPP) for left atrial overload (LOA) in orthogonal ECGs. A total of 2093 ECGs recorded with Frank's corrected orthogonal leads were used for analysis. It can be concluded from the present study that (1) TWPP is diagnostically non-specif...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(80)80051-3

    authors: Ishikawa K,Pipberger HV

    更新日期:1980-04-01 00:00:00

  • QRS score as an indicator of myocardial viability after thrombolytic therapy.

    abstract::Electrocardiographic estimation of myocardial injury has, in some studies, correlated poorly with the extent of nuclear perfusion defects at rest and with changes in the left ventricular ejection fraction after acute reperfusion therapy. The authors investigated 16 patients with fatty acid scintigraphy and with the Se...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(05)80256-0

    authors: Walamies MA,Siitonen SL,Koskinen MO

    更新日期:1995-07-01 00:00:00

  • Noxious arousal induces T-wave changes in healthy subjects.

    abstract:BACKGROUND:Sudden arousal has been associated with sudden cardiac death in individuals with ischemic heart disease, cardiac arrhythmias, and the congenital long QT syndrome. This study aimed to determine the effects of arousal on ventricular repolarization in normal individuals by examining the dynamic QT interval-hear...

    journal_title:Journal of electrocardiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jelectrocard.2005.10.006

    authors: Dweck MR,Lang CC,Neilson JM,Flapan AD

    更新日期:2006-07-01 00:00:00

  • An adaptive QRS detection algorithm for ultra-long-term ECG recordings.

    abstract:BACKGROUND:Accurate detection of QRS complexes during mobile, ultra-long-term ECG monitoring is challenged by instances of high heart rate, dramatic and persistent changes in signal amplitude, and intermittent deformations in signal quality that arise due to subject motion, background noise, and misplacement of the ECG...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2020.02.016

    authors: Malik J,Soliman EZ,Wu HT

    更新日期:2020-01-01 00:00:00

  • A paucity of chronic electrocardiographic changes with adriamycin therapy.

    abstract::Serial electrocardiograms (ECGs) of 49 patients receiving adriamycin were analyzed for the development of persistent changes. The ECG changes were compared with those of a control group of 20 patients receiving other chemotherapeutic drugs, which were comparable to the additional chemotherapy received by the adriamyci...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(78)80122-8

    authors: Weaver SK,Fulkerson PK,Lewis RP,Leier CV

    更新日期:1978-07-01 00:00:00

  • Predictors of in-hospital ventricular fibrillation or torsades de pointes in patients with acute symptomatic bradycardia.

    abstract::Severe bradyarrythmias remain as an important cause for hospital urgent admission and these patients can suffer potentially lethal complications (such as ventricular fibrillation [VF] and torsades de pointes [TdP]) between hospital admission and final therapy. Incidence and predictors of these tachyarrhythmias have no...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2003.10.003

    authors: Díaz-Castro O,Puchol A,Almendral J,Torrecilla EG,Arenal A,Martínez-Selles M

    更新日期:2004-01-01 00:00:00