CineECG illustrating the ventricular activation sequence in progressive AV-junctional conduction block

Iris van der Schaaf; Manon Kloosterman; Machteld J Boonstra; Peter M van Dam; Anton P M Gorgels

doi:10.1016/j.jelectrocard.2023.01.004

CineECG illustrating the ventricular activation sequence in progressive AV-junctional conduction block

J Electrocardiol. 2023 May-Jun:78:1-4. doi: 10.1016/j.jelectrocard.2023.01.004. Epub 2023 Jan 14.

Authors

Iris van der Schaaf¹, Manon Kloosterman², Machteld J Boonstra², Peter M van Dam³, Anton P M Gorgels⁴

Affiliations

¹ Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands. Electronic address: i.vanderschaaf-5@umcutrecht.nl.
² Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands.
³ Department of Cardiology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, the Netherlands; ECG Excellence, Weijland 38, 2415 BC Nieuwerbrug, the Netherlands.
⁴ Department of Cardiology, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX Maastricht, the Netherlands; Hartkliniek Maastricht, Victor de Stuersstraat 15, 6217 KP Maastricht, the Netherlands.

PMID: 36680995
DOI: 10.1016/j.jelectrocard.2023.01.004

Abstract

We present the use of CineECG in visualizing abnormal ventricular activation in a case of a complex conduction disorder. CineECG combines the standard 12‑lead surface ECG with a 3D anatomical model of the heart. It projects the location and direction of the average ventricular activation and recovery on the heart model over time. In this case, CineECG was able to visualize the different type of fascicular conduction in this progressive conduction block. This novel imaging technique was able to provide additional insight in this complex case, and might be of use in other complex ECG patterns.

Keywords: CineECG; ECG imaging; Electrocardiogram; Mobitz 2 atrioventricular block; Wenckebach fascicular block.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Atrioventricular Block*
Electrocardiography* / methods
Heart
Heart Rate
Heart Ventricles
Humans