PubMed Health⌕ Search

PubMed · 7897841

[Relationship between recovery sequence and T wave shapes].

Abstract

Eighteen-seven unipolar ECGs were simultaneously recorded from the entire thorax in 61 patients having negative T waves and 44 normal male volunteers. We measured a recovery time, which was defined as an instant of maximal derivative of the T wave as the index of local recovery. Significant correlations were observed between the recovery time and each of T wave parameters (positive T wave amplitude, negative T wave amplitude, and T integral). The T wave parameters were dependent on recovery times. Body surface recovery time distributions clearly separate anterior myocardial infarction and left ventricular hypertrophy. Appearance of the negative T waves correlates well with the presence of the area with delayed recovery time on the spatial distribution.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

M Yamaki. 1995. [Relationship between recovery sequence and T wave shapes].. https://pubmed.ncbi.nlm.nih.gov/7897841/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Case report: Symptoms of advanced heart failure--a case for radiofrequency catheter ablation?

A sixty-year-old man with previous history of coronary artery disease was admitted due to progressive worsening of dyspnoea at exertion (NYHA III functional class) and no angina. Coronary angiography confirmed occlusion of the right coronary artery which was naturally bypassed by homocollaterals with TIMI 3 flow to the peripheral branches. The lesion was not technically suitable for percutaneous angioplasty. The left coronary artery was without stenosis. On echocardiography, both the left ventricle and the left atrium were dilated and hemodynamically significant mitral regurgitation was present. Surface ECG showed a left bundle branch block with repeated runs of monomorphic ventricular ectopic beats (PVC). Radiofrequency catheter ablation of the focus in the posteroseptal region of the left ventricle underneath the mitral valve was performed using electroanatomical mapping system. After the procedure, mitral regurgitation decreased and reverse remodeling of the left ventricle and the left atrium occurred with concomitant significant clinical improvement of the patient. The authors discuss several treatment strategies: mitral valve repair surgery combined with revascularization, implantation of a biventricular ICD system or elimination of the focus of monomorphic VT runs by radiofrequency catheter ablation as a possible causal approach in the treatment of PVC-induced cardiomyopathy.

Body Surface Potential Mapping↗