The Value of Baseline and Arrhythmic ECG in the Interpretation of Arrhythmic Mechanisms

Qiong Chen; Alessio Gasperetti; Domenico G Della Rocca; Sanghamitra Mohanty; Omer Gedikli; Chintan Trivedi; Alfredo Chauca-Tapia; Luigi Di Biase; Andrea Natale

doi:10.1016/j.ccep.2019.02.007

The Value of Baseline and Arrhythmic ECG in the Interpretation of Arrhythmic Mechanisms

Card Electrophysiol Clin. 2019 Jun;11(2):219-238. doi: 10.1016/j.ccep.2019.02.007. Epub 2019 Apr 12.

Authors

Qiong Chen¹, Alessio Gasperetti², Domenico G Della Rocca³, Sanghamitra Mohanty², Omer Gedikli², Chintan Trivedi², Alfredo Chauca-Tapia², Luigi Di Biase⁴, Andrea Natale⁵

Affiliations

¹ Texas Cardiac Arrhythmia Institute, St David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA; Henan Provincial People's Hospital, No. 7 Weiwu, Zhengzhou, Henan Province, China.
² Texas Cardiac Arrhythmia Institute, St David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA.
³ Texas Cardiac Arrhythmia Institute, St David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA. Electronic address: domenicodellarocca@hotmail.it.
⁴ Texas Cardiac Arrhythmia Institute, St David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA; Department of Internal Medicine, Dell Medical School, University of Texas, 1501 Red River Street, Austin, TX 78712, USA; Department of Biomedical Engineering, Cockrell School of Engineering, University of Texas, 301 East Dean Keeton Street, Austin, TX 78712, USA; Arrhythmia Services, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, 111 East 210th Street, Bronx, NY 10467, USA; Department of Clinical and Experimental Medicine, University of Foggia, Via A. Gramsci 09/91, Apulia, Foggia 71122, Italy.
⁵ Texas Cardiac Arrhythmia Institute, St David's Medical Center, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA; Department of Internal Medicine, Dell Medical School, University of Texas, 1501 Red River Street, Austin, TX 78712, USA; Department of Biomedical Engineering, Cockrell School of Engineering, University of Texas, 301 East Dean Keeton Street, Austin, TX 78712, USA; Interventional Electrophysiology, Scripps Clinic, 9898 Genessee Avenue, La Jolla, CA 92037, USA; Department of Cardiology, Metro Health Medical Center, Case Western Reserve University School of Medicine, 2109 Adelbert Road, Cleveland, OH 44106, USA; Division of Cardiology, Stanford University, 870 Quarry Road, Stanford, CA 94305, USA.

PMID: 31084848
DOI: 10.1016/j.ccep.2019.02.007

Abstract

Owing to the rapid development of new electrophysiologic techniques, our understanding of arrhythmias and their underlying mechanisms has reached unprecedented levels. In some cases, baseline ECG alterations can be identified before arrhythmia development; early recognition of these alterations is of utmost importance to start appropriate preventive therapies and stratify the risk according to patients' outcomes. Hereby, we report a systematic revision of main baseline ECG abnormalities and their implications on clinical outcomes.

Keywords: Atrial-ventricular conduction; Baseline electrocardiogram; Cardiac arrhythmias; Electrocardiogram; Tachycardia.

Publication types

Review

MeSH terms

Arrhythmias, Cardiac* / classification
Arrhythmias, Cardiac* / diagnosis
Arrhythmias, Cardiac* / physiopathology
Electrocardiography / classification*
Humans