31 T-wave loop and QRS complex loop variables and mortality in postinfarction patients

EP Europace ◽  
2005 ◽  
Vol 7 (Supplement_1) ◽  
pp. 7-7
Author(s):  
J. Perkiomaki ◽  
M. Hyytinen-Oinas ◽  
M. Karsikas ◽  
T. Sepp nen ◽  
K. Hnatkova ◽  
...  
Keyword(s):  
2012 ◽  
Vol 12 (04) ◽  
pp. 1240012 ◽  
Author(s):  
GOUTHAM SWAPNA ◽  
DHANJOO N. GHISTA ◽  
ROSHAN JOY MARTIS ◽  
ALVIN P. C. ANG ◽  
SUBBHURAAM VINITHA SREE

The sum total of millions of cardiac cell depolarization potentials can be represented by an electrocardiogram (ECG). Inspection of the P–QRS–T wave allows for the identification of the cardiac bioelectrical health and disorders of a subject. In order to extract the important features of the ECG signal, the detection of the P wave, QRS complex, and ST segment is essential. Therefore, abnormalities of these ECG parameters are associated with cardiac disorders. In this work, an introduction to the genesis of the ECG is given, followed by a depiction of some abnormal ECG patterns and rhythms (associated with P–QRS–T wave parameters), which have come to be empirically correlated with cardiac disorders (such as sinus bradycardia, premature ventricular contraction, bundle-branch block, atrial flutter, and atrial fibrillation). We employed algorithms for ECG pattern analysis, for the accurate detection of the P wave, QRS complex, and ST segment of the ECG signal. We then catagorited and tabulated these cardiac disorders in terms of heart rate, PR interval, QRS width, and P wave amplitude. Finally, we discussed the characteristics and different methods (and their measures) of analyting the heart rate variability (HRV) signal, derived from the ECG waveform. The HRV signals are characterised in terms of these measures, then fed into classifiers for grouping into categories (for normal subjects and for disorders such as cardiac disorders and diabetes) for carrying out diagnosis.


1969 ◽  
Vol 14 (2) ◽  
pp. 59-63 ◽  
Author(s):  
R. J. Weir ◽  
J. A. Young ◽  
J. B. McGuinness

In 10 patients with hypothyroidism, the electrocardiogram and Achilles reflex test have been recorded before and during treatment with l-thyroxine sodium. Aspects of the electrocardiogram affected by hypothyroidism are the rate, duration of PR interval, height of P-wave, of QRS complex and of T-wave and the ST segment. Each of these improved with therapy, the earliest and most sensitive change being the height of the QRS complex. The Achilles reflex time as recorded by the photomotograph also showed a parallel decrease with therapy but this is considered to be less reliable as an isolated test. The prolongation of the PR interval is briefly discussed and a correlation between the changes in skeletal and myocardial muscle is suggested.


2013 ◽  
Vol 311 ◽  
pp. 485-490 ◽  
Author(s):  
Ying Chieh Wei ◽  
Ying Yu Wei ◽  
Shaang Tzuu Wey ◽  
Ling Sheng Jang

This article is to design and develop a programming electrocardiogram (ECG) generator. It can be used to test the efficiency of algorithms and to calibration and maintenance of electrocardiograph equipment. We simplified and modified the three coupled ordinary differential equations of McSharry’s model to single differential equation to generate the synthetic ECG waveforms. This generator can provide the adjusted amplitude, heart rate, QRS-complex slopes, and P- and T-wave position parameters. The system can set the rage of the average gear rate from 20 to 120 beat per minute (BPM) with an adjustable variation of 1 BPM. The parameters of the adjusted synthetic ECG model can be stored in Flash memory of the system through Universal Serial Bus (USB) 2.0 interface. The results were generated four different ECG waveforms for test which are Lead I, Lead II, hyperkalaemia and left bundle branch block. According to the experimental results, the system can not only generate the ECG waveforms of the setting heart rate but also can adjust the different types of ECG waveforms. ECG generator will generate the synthetic electrocardiograms for testing the electrocardiogram analytic algorithms. ECG generator will generate the synthetic electrocardiograms for testing the electrocardiogram analytic algorithms.


2020 ◽  
Vol 101 (4) ◽  
pp. 617-621
Author(s):  
V N Oslopov ◽  
Yu S Mishanina

The study of life, medical and scientific activities of the outstanding domestic scientist S.S. Zimnitsky always causes and will cause great interest. The versatility of his talent as a scientist continues to amaze. Many of the issues that remain relevant today raised by S.S. Zimnitsky, not fully resolved in the XXI century. There were no answers to the well-known question asked by the seriously ill S.S. Zimnitsky to another prominent Russian scientist, the beacon of Russian physiological science A.F. Samoilov. This question concerned the origin of the giant positive T wave in the first QRS complex after the ventricular extrasystole on the electrocardiogram. The question remained unanswered. We believe that this was because by the end of the 20s of the XX century (S.S. Zimnitsky died in 1927), the delicate mechanisms of repolarization processes were not able to understand, in both healthy and diseased myocardium. The article sets forth our original point of view on the genesis of such a T wave in S.S. Zimnitsky. We believe that a scientific discussion on this issue is quite possible. There is no doubt that both life and scientific activities of S.S. Zimnitsky has always attracted and will attract the attention of both medical historians and practical doctors, scientists and inquisitive students.


2022 ◽  
Vol 78 (03) ◽  
pp. 6625-2022
Author(s):  
MARIAN GHIȚĂ ◽  
IULIANA CODREANU ◽  
CARMEN PETCU ◽  
ADRIAN RĂDUȚĂ ◽  
DRAGOȘ POPESCU ◽  
...  

The electrocardiogram is a graph recording of heart’s electric activity, so it is used in medical practice mainly in order to observe the heart’s activity. The values of the main components of the electrocardiogram in pregnant goats were determined within the current research. All of these were performed in three different stages of pregnancy (the beginning, the middle and the ending), being focused on the variation of these values during the pregnancy. The gestation diagnosis was confirmed by ultrasound-exam. During the pregnancy, the following values for the duration of the main ECG’s components were found: the P wave (0.045-0.044 s), the P-R segment (0.061-0.048 s), of the P-R range (0.105-0.086 s), of the QRS complex (0.042-0.040 s), of the Q-T range (0.242-0.218 s), of the P-T range (0.377-0.368 s), of the R-R range (0.465-0.431 s), the T wave (0.091-0.104 s) and of the T-P segment (0.097-0.101 s). Our results show that during the pregnancy the duration of: the P wave, the P-R segment, the P-R range, the QRS complex, the Q-T range, the P-T range and the R-R range, decrease, while the duration of the T wave and the T-P segment increase.


1993 ◽  
Vol 74 (1) ◽  
pp. 61-62
Author(s):  
V. M. Andreev

Until now, in the diagnosis of myocardial infarction (MI), the main importance is attached to ECG studies. In the MI focus, an ischemic zone is formed, which is characterized by a change in the repolarization process (T wave), an injury zone manifested by a displacement of the ST segment and a necrosis zone, which is expressed in a change in the QRS complex.


2018 ◽  
Vol 33 (5) ◽  
pp. 301-313 ◽  
Author(s):  
Artem A. Razumov ◽  
Konstantin S. Ushenin ◽  
Ksenia A. Butova ◽  
Olga E. Solovyova

Abstract Electrocardiogram is a widespread method of diagnosis of heart diseases. Nevertheless, there are still issues related to connection of some physiological features of themyocardium with patterns observed on the electrocardiogram. In ourworkwe studied the effect of ventricular remodelling, i.e., thickening ofwalls of ventricles typical for hypertrophic cardiomyopathy (HCM), on the pseudo-electrocardiogram on the surface of a volume conductor during myocardial activation from different sources. A model of two ventricles of the heart was developed for this purpose allowing us to vary ventricular geometry. The volume conductor surrounding the heart was a cubic homogeneous volume conductor. Simulation of a pseudo-electrocardiogram was performed by using a realistic ionic model of cardiomyocytes of the ventricles of the human heart and the bidomain model of the myocardium [15]. The zone of initial activation in the model was given on a part of the subendocardial surface or at one or two points corresponding to positions of electrodes of most common implantable devices. In the course of the study we revealed an inversion of the T-wave when changing the thickness of the left ventricle wall regardless of changes of properties of cardiomyocytes or myocardium conductivity. A linear dependence between the wall thickness of the left ventricle and peak amplitudes and integrals under QRS complex and T wave of the electrocardiogram was shown. We have qualitatively shown that with a change in the wall thickness of the left ventricle the pseudo-electrocardiogram changes stronger in the case of activation from one point than in activation from two points or activation of the entire subendocardium.


2018 ◽  
Vol 12 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Hitesh Raheja ◽  
Vinod Namana ◽  
Kirti Chopra ◽  
Ankur Sinha ◽  
Sushilkumar Satish Gupta ◽  
...  

Background: Acute alcohol intoxication has been associated with cardiac arrhythmias but the electrocardiogram (ECG) changes associated with acute alcohol intoxication are not well defined in the literature. Objective: Highlight the best evidence regarding the ECG changes associated with acute alcohol intoxication in otherwise healthy patients and the pathophysiology of the changes. Methods: A literature search was carried out; 4 studies relating to ECG changes with acute alcohol intoxication were included in this review. Results: Of the total 141 patients included in the review, 90 (63.8%) patients had P-wave prolongation, 80 (56%) patients had QTc prolongation, 19 (13.5%) patients developed T-wave abnormalities, 10 (7%) patients had QRS complex prolongation, 3 (2.12%) patients developed ST-segment depressions. Conclusion: The most common ECG changes associated with acute alcohol intoxication are (in decreasing order of frequency) P-wave and QTc prolongation, followed by T-wave abnormalities and QRS complex prolongation. Mostly, these changes are completely reversible.


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