scholarly journals Electrocardiographic parameters in captive, clinically healthy, Amazona ochrocephala

2015 ◽  
pp. 5037-5045
Author(s):  
Claudia Guerrero S ◽  
Janeth Bolivar B ◽  
Piero Vargas-Pinto ◽  
Pedro Vargas-Pinto ◽  
Claudia Brieva-Rico
Keyword(s):  
Heart Rate ◽  
Wave Amplitude ◽  
P Wave ◽  
S Wave ◽  
Wave Duration ◽  
T Wave ◽  
P Wave Duration ◽  
Electrocardiographic Examination ◽  
Qrs Duration ◽  
Electrocardiographic Parameters

ABSTRACT Objective. To stablish the electrocardiographic parameters of individuals of the species Amazona ochrocephala, from the Unidad de Rescate y Rehabilitacion de Animales Silvestres at the Universidad Nacional de Colombia. Materials and methods. The electrocardiographic examination was performed under inhaled anesthesia with isoflurane. Leads I, II, III, aVL, aVR and aVF were measured. Results. Electrocardiographic parameters obtained in Lead II. P wave Duration: 0.015-0.044 s, P wave amplitude: 0.031 to 0.6 mv, R wave duration: 0.015-0.022 s, amplitude R: 0.034-0.038 mv, S wave Duration: 0.019- 0.042 s, amplitude S: 0.194-0.815 mv, T wave Duration: 0.025-0.064 s, T-wave amplitude: 0.010 to 0.5 mv, PQ Duration: 0.021-0.076 s, QRS Duration: 0.036-0.068 s, QT Duration: 0.070-0.015 s, RR Duration: 0.104-0.324 s, EEM: -111° to -80°, FC: 240-600 ppm. Conclusions. The results showed different values for amplitude and duration of the P, R and T waves in comparison to those obtained in other studies. However, they were similar for heart rate, MEA and duration of the PQ/R, QT and QRS segments.

How to interpret the paediatric 12-lead ECG

2021 ◽  
pp. edpract-2021-322428
Author(s):  
Paraskevi Mikrou ◽  
Pushpa Shivaram ◽  
Constantinos Kanaris
Keyword(s):  
Wave Amplitude ◽  
P Wave ◽  
Reference Ranges ◽  
Qrs Complex ◽  
S Wave ◽  
Everyday Clinical Practice ◽  
Wave Duration ◽  
P Wave Duration ◽  
Qt Intervals ◽  
Core Skill

ECG interpretation is a core skill for any healthcare practitioner that looks after children. The article aims to educate the reader in basic interpretation of paediatric ECG in a succinct, interactive, organised manner in a way that it can be easily referenced and applied in everyday clinical practice. We include clinical examples as well as age and sex-related reference ranges for QT intervals, P-wave duration, Q-wave amplitude, QRS complex duration, R-wave and S-wave amplitude, R/S ratio and PR intervals.

scholarly journals Electrocardiographic reference values for healthy Netherland Dwarf rabbits and the influence of body position, age and gender

2017 ◽  
Vol 25 (4) ◽  
pp. 399 ◽  
Author(s):  
J. M. Chapel ◽  
C. Castillo ◽  
J. Hernández ◽  
M. Cipone ◽  
J. L. Benedito
Keyword(s):  
Reference Values ◽  
Wave Amplitude ◽  
Body Position ◽  
Statistical Processing ◽  
P Wave ◽  
Wave Duration ◽  
T Wave ◽  
Qrs Duration ◽  
And Gender ◽  
R Wave Amplitude

<p>The aim of this study was to provide reference values for a single, popular breed of pet rabbit. Moreover, additional objectives were to determine whether sex, body position or age alter Netherland Dwarf rabbit electrocardiographic variables and whether the use of electrocardiographic filters affects those variables. Forty Netherland Dwarf rabbits were examined clinically and standard six-lead electrocardiograms (ECGs) were recorded in sternal and then dorsal recumbency. At first power-line and anti-drift filters were used and then they were disabled. The following variables were measured in lead II: heart rate; P wave duration and amplitude; P-R interval; QRS duration; R wave amplitude (with and without filters); Q-T interval; T wave duration and amplitude; S-T segment; J-T duration; and mean electrical axis (MEA) (with and without filters). MEA was determined by 3 different methods. After statistical processing of the data, our results showed that there were no significant differences between both recumbencies, with the exception of the J-T duration, which was higher in dorsal recumbency. The R wave amplitude using electrocardiographic filters showed significant differences between males (0.083 mV) and females (0.115 mV; P&lt;0.05); and between younger rabbits (0.108 mV) and older rabbits (0.097 mV; P&lt;0.05). These differences were not shown between R waves with filters disabled. Moreover, the strongest correlation was between 2 MEA methods without filters. MEA was more leftward in the pet rabbit than in other species (dog or cats). In conclusion, electrocardiography recording without electrocardiographic filters should be assessed when it is possible, and the specific ECGs characteristics for Netherland Dwarf rabbit should be taken into account.</p>

scholarly journals Physiological ECG Value for Polish Half-Bred Anglo-Arab Horses

2012 ◽  
Vol 56 (4) ◽  
pp. 631-635 ◽  
Keyword(s):  
Heart Rate ◽  
P Wave ◽  
P Waves ◽  
T Wave ◽  
Duration Time ◽  
Qt Intervals ◽  
Electrocardiographic Examination ◽  
Electrocardiographic Findings ◽  
Almost All ◽  
T Waves

Abstract The electrocardiographic examination was performed in 33 training horses (2-16 years of age, 11 males and 22 females). Einthoven and precordial leads (I, II, III, aVR, aVL, aVF, CV1, CV2, CV4) were used. The ECG was performed in resting horses and immediately after exercise (10 min walk, 15 min trot, 10 min canter) using a portable Schiller AT-1 3-channel electrocardiograph, with a paper speed of 25 mm sec-1 and a sensitivity of 10 mm.mV-1. The heart rate, wave amplitudes, and duration time were estimated manually. All horses presented a significant increase in heart rate after exercise (rest 43.83 ±10.33 vs. exercise 73.2 ±14.8). QT intervals were significantly shortened in most of the leads. In resting horses, all P waves in the lead I were positive and almost all II, III and CV4 leads were positive. Simple negative P wave dominated in aVR and only simple negative T wave was found in the leads I. The biphasic shape was observed. After exercise, the amplitude of P and T waves rose, however, clear changes were not observed in wave polarisation and form. In the absence of specific racial characteristics of the electrocardiogram in the Polish Anglo- Arabians, electrocardiographic findings can be interpreted according to ECG standards adopted for horses.

scholarly journals Associations between Intrinsic Heart Rate, P Wave and QT Interval Durations and Pulse Wave Analysis in Patients with Hypertension and High Normal Blood Pressure

2020 ◽  
Vol 17 (12) ◽  
pp. 4350
Author(s):  
Ioana Mozos ◽  
Cristina Gug ◽  
Costin Mozos ◽  
Dana Stoian ◽  
Marius Pricop ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Qt Interval ◽  
Pulse Wave ◽  
Pulse Wave Analysis ◽  
P Wave ◽  
Normal Blood Pressure ◽  
Wave Analysis ◽  
Wave Duration ◽  
P Wave Duration

The present study aimed to explore the relationship between electrocardiographic (ECG) and pulse wave analysis variables in patients with hypertension (HT) and high normal blood pressure (HNBP). A total of 56 consecutive, middle-aged hypertensive and HNBP patients underwent pulse wave analysis and standard 12-lead ECG. Pulse wave velocity (PWV), heart rate, intrinsic heart rate (IHR), P wave and QT interval durations were as follows: 7.26 ± 0.69 m/s, 69 ± 11 beats/minute, 91 ± 3 beats/minute, 105 ± 22 mm and 409 ± 64 mm, respectively. Significant correlations were obtained between PWV and IHR and P wave duration, respectively, between early vascular aging (EVA) and P wave and QT interval durations, respectively. Linear regression analysis revealed significant associations between ECG and pulse wave analysis variables but multiple regression analysis revealed only IHR as an independent predictor of PWV, even after adjusting for blood pressure variables and therapy. Receiver-operating characteristic (ROC) curve analysis revealed P wave duration (area under curve (AUC) = 0.731; 95% CI: 0.569–0.893) as a predictor of pathological PWV, and P wave and QT interval durations were found as sensitive and specific predictors of EVA. ECG provides information about PWV and EVA in patients with HT and HNBP. IHR and P wave durations are independent predictors of PWV, and P wave and QT interval may predict EVA.

scholarly journals ECG Measurements to Emphasize Atrial Potentials Using Modified Limb Lead System

2018 ◽  
Vol 7 (3.12) ◽  
pp. 632
Author(s):  
Manikandan K ◽  
Mohanasundaram K
Keyword(s):  
Electrical Activity ◽  
Wave Amplitude ◽  
P Wave ◽  
Electrode Placement ◽  
Atrial Arrhythmias ◽  
Lead System ◽  
Wave Duration ◽  
Normal Limits ◽  
P Wave Duration ◽  
Female Subjects

With the advancement in the field of Electrocardiology (ECG), the acquisition of electrical activity of the heart plays an important role in the diagnosis of various cardiovascular diseases. In general, this activity of conduction is acquired using Standard 12 Lead ECG system. Recently, a Modified Limb Lead system has been developed to study the atrial electrical activity for the diagnosis of atrial arrhythmias. The present study is to derive the normal limits of female subjects using Modified Limb Lead (MLL) system. This study was evaluated in 59 female subjects 19.52 ± 1 (Mean ± S.D) and is primarily involved to study atrial potentials with the use of precordial and modified limb lead position. In sinus rhythm female subjects, the P wave amplitude was 33.06 ± 21.18 µV and the Ta wave amplitude was 20.72 ± 18.16 µV. The P wave duration was 94.22 ± 10.64 ms, the Ta wave duration was 85.51 ± 17.49 ms. The results show that modifications in the limb electrode placement have significant effect on amplitudes and PR segment which may be of great importance for the assessment of atrial potentials.  

scholarly journals Diagnostic Accuracy of the Electrocardiogram for Detection of Atrial and Ventricular Overloads in Dogs

2021 ◽  
Vol 49 ◽  
Author(s):  
Monique Machado Louredo Machado Louredo Teles Bombardelli ◽  
Tatiana Champion ◽  
Julio Cezar Juk Fischborn ◽  
Ana Bianca Ferreira Gusso
Keyword(s):  
Right Atrium ◽  
Wave Amplitude ◽  
Reference Value ◽  
Standard Test ◽  
The Body ◽  
P Wave ◽  
S Wave ◽  
Cardiac Chamber ◽  
Qrs Duration ◽  
The Right

Background: Analysis of the electrocardiogram may suggest atrial and ventricular overloads. However, it has a low sensitivity and specificity for diagnosis of cardiac chamber overload. The accuracy of electrocardiographic interpretation can be improve using new cut-offs for the duration and amplitude of the electrocardiographic waves. Our objective was to evaluate the use of the electrocardiogram in the diagnosis of atrial and ventricular overload, using echocardiography as the gold standard test for the diagnosis of atrioventricular overload. We aimed to define new cut-off values that would increase the sensitivity and specificity of the electrocardiogram for diagnosis of chamber overload in dogs.Materials, Methods & Results: Eletrocardiogram records were obtained in 81 dogs divided into 3 groups: Group 1A (healthy dogs 10 kg); Group 1B (dogs 10 kg with mitral or tricuspid valve disease); Group 2 (dogs weighing between 10.1 and 20 kg) and Group 3 (dogs > 20.1 kg). Duration in milliseconds (ms) and amplitude in millivolts (mV) of P waves and QRS complexes, PR and QT segment, T wave amplitude and ST segment were evaluated in lead DII. Using leads I and III, the mean cardiac electrical axis in the frontal plane, expressed in degrees, was determined as the mean of three consecutive measurements. For Group 1A and 1B the duration of P wave was < 45 ms and QRS duration < 55 ms. In Group 2 the duration of P wave was < 47 ms and QRS duration < 57 ms. In Group 3 the duration of P wave was < 50 ms and duration QRS < 64 ms. These values (duration of P wave and QRS duration) were compared with echocardiographic measurements of the left atrium, considering the reference value AE/Ao < 1.4 and measurements of the left ventricle in M-mode according to the body weight, respectively. A P wave amplitude < 0.4 mV suggested that the right atrium size was normal and this was compared with the area of the right atrium measured on the echocardiogram. The right ventricle was assessed using the amplitude of S wave and right axis deviation and compared with the right ventricular area obtained by echocardiography. The reference value of the right atrium and right ventricle is according to the body weight. For both the right and left atria, there was concordance between the diagnoses with electrocardiography and echocardiography. For the right and left ventricle was no agreement between the diagnoses. All criteria examined had low sensitivities, usually with high specificities. But it was not possible to determine a new cut-off that would improve the sensitivity of the electrocardiogram for diagnosis of atrial and ventricular overload in dogs. Discussion: The electrocardiogram analysis produced false interpretations for the measures indicative of atrioventricular overloads and should not be used alone, for diagnosis of cardiac chamber overload. The standard electrocardiographic reference values, for P wave duration and amplitude, were excellent for identification of normal atrial size. However, QRS duration, R wave amplitude (dependent of the dog’s weight) and S wave amplitude, associated with cardiac electrical axis cannot be used for diagnosis of ventricle overload. Electrocardiographic analysis should not be used as a tool to assess cardiac chamber overload, which should be diagnosed by echocardiography and clinical investigation. Based on our findings echocardiogram is the gold standard test indicated to identify overload of cardiac chambers.

scholarly journals Cardiotoxicity Study of the Aqueous Extract of Corn Silk in Rats

2016 ◽  
Vol 39 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Adeolu Adedapo ◽  
Omotayo Babarinsa ◽  
Ademola Oyagbemi ◽  
Aduragbenro Adedapo ◽  
Temidayo Omobowale
Keyword(s):  
Heart Rate ◽  
Qt Interval ◽  
Fatty Infiltration ◽  
P Wave ◽  
Control Group ◽  
Histopathological Changes ◽  
Oral Antidiabetic Agent ◽  
Wave Duration ◽  
Corn Silk ◽  
P Wave Duration

AbstractIn the ear of corn there are silky strands which run its length and these strands are known as corn silks. Folk remedies show that the corn silks have been used as an oral antidiabetic agent in China for many years and as herbal tea in other world nations for the amelioration of urinary tract infection. The extract is being assessed for safety in this study using histopathological changes, as well as an electrocardiogram (ECG). Graded doses (200, 400 and 800 mg/kg) of aqueous CS extract were administered to rats for seven days. The fourth group which served as control received 3 ml/kg dose of distilled water. On the eighth day, ECG was evaluated in ketamine/xylazine-induced anaesthesia in rats to determine changes in the heart rate, P-wave duration, P-R interval, R-amplitude, QRS duration, QT interval and QTc. Hearts from the experimental animals were collected for histopathological changes. The results showed that there was a significant change in the heart rate (groups B and C), P-wave duration (group D), QT interval (groups B, C and D) and QTc (groups B, C and D) when compared to the control group. Histology also indicated that sections of the heart showed fatty infiltration of inflamed heart and areas of moderate inflammation of the atrium and ventricle. It could therefore be concluded from this study that though folklore indicated that corn silk (CS) is of high medicinal value, one must be careful in using this product as medicinal agent especially in patients with compromised heart conditions.

Superiority of P-wave amplitude over P-wave duration to predict left ventricular end-diastolic pressure

2005 ◽  
Vol 38 (4) ◽  
pp. 36-37 ◽  
Author(s):  
Eunyoung Lee ◽  
Andrew D. Michaels ◽  
Dan Schindler ◽  
Barbara J. Drew
Keyword(s):  
Wave Amplitude ◽  
Diastolic Pressure ◽  
Left Ventricular ◽  
P Wave ◽  
Wave Duration ◽  
P Wave Duration

scholarly journals Electrocardiographic Aspects of Singleton Pregnancy and Neonatal Period in American Miniature Horse Breed

2021 ◽  
Vol 49 ◽  
Author(s):  
Juliana Almeida Nogueira Da Gama ◽  
Gabriela Amorim Campos ◽  
Raphael Tortorelli Teixeira ◽  
Mirian Harumi Tsunemi ◽  
Bianca Paola Santarosa ◽  
...  
Keyword(s):  
Heart Rate ◽  
P Wave ◽  
S Wave ◽  
Horse Breed ◽  
Singleton Pregnancy ◽  
Mean Values ◽  
T Wave ◽  
Qt Intervals ◽  
Significant Difference ◽  
The Mean

Background: During pregnancy, cardiovascular adaptations occur in order to meet maternal demands and adequate support for fetal development, but they are still unclear in the equine species, especially in the American Miniature horse breed. The main hemodynamic changes that occur during pregnancy are increased heart rate, cardiac output, and blood volume. It is necessary to use the reference values for the miniature breeds, in addition to the age range and reproductive condition, so the objective of this study was to evaluate the effect of pregnancy on electrocardiographic (ECG) parameters in mares and also of age in newborns foals of American Miniature horse breed. Materials, Methods & Results: Ten American Miniature Horse mares, between 7 and 19 years old (12.14 ± 4.05 years), 116.85 ± 24.09 kg of body weight were used in the experiment. All these mares were pluriparous, with 5.9 ± 3.5 of births, minimum of 2, and maximum of 12 foaling times. They were maintained in common social group in an indoor house stable with straw bed, with access to an outdoor paddock for several h per day. Twice a day they were fed with hay. Mineral supplements and water were available ad libitum. The ECG were obtained in 10 pregnant mares and in 10 neonates. All females were examined at a representative time of each trimester of pregnancy, at 30, 210, 300 days before and 21 days after delivery. Neonates were examined on different times: first 24 h after delivery, weekly on the 7th, 14th, 21st, 28th and 35th days of age. The ECG parameters considered were the heart rate and rhythm, duration and intervals (P, PR, QRS, QT, T) and amplitude (P, R, S, T) of ECG waves. The mean of pregnancy duration was 319.4 ± 4.97 days. Heart Rate (HR) varied between 51 to 59 bpm during pregnancy and 56 bpm on the 21st day after delivery. Comparing the clinical parameters of pregnant mares, non-pregnant mares and foal a difference was found for HR, Respiration Rate (RR) and Temperature (P = 0.001). All ECG parameters of pregnant, non-pregnant and foal mares showed a significant difference (P = 0.0001), except for the amplitude of the P1, P2 and R waves, which was similar for the 3 groups. The mean values of HR and amplitude of the positive T wave were higher in foals when compared to pregnant and non-pregnant mares, which in turn did not differ from each other. The mean duration of the P wave, PR segment, QRS complex, QT segment and T wave were the same among mares and greater than in foals. Comparing pregnant and non-pregnant mares, there was a difference in only 3 parameters: duration of the QTc segment, amplitude of the S wave and negative T wave. The non-pregnant mares had a longer duration of the QTc segment and a greater amplitude of the negative T wave, while the foals had a greater amplitude of the S wave.Discussion: Although this study did not measure HR at delivery time, it is worth to consider the action of the parasympathetic autonomic nervous system close to delivery, which reduces the HR of mares. This is because at delivery, sympathetic-adrenal activation should be avoided since the increase in sympathetic tone can cause uterine atony via B2 receptors. For this reason, it has been shown that, during physiological birth, horses are under parasympathetic control, and stress response mechanisms are not activated. It was conclude that the morphometry of the waves, intervals and ECG complexes, during the evolution of the reproductive state, the electrocardiographic aspects were generally associated with heart rate (PR and QT intervals). As for neonates, there was a discrepancy among the most of ECG parameters when compared to the adult female, regardless of reproductive status, clarifying the importance of ECG patterns not only for the breed, but also for the age group.

scholarly journals The ECG Characteristics of Patients With Isolated Hypomagnesemia

2021 ◽  
Vol 11 ◽  
Author(s):  
Yiheng Yang ◽  
Cheng Chen ◽  
Penghong Duan ◽  
Suman Thapaliya ◽  
Lianjun Gao ◽  
...  
Keyword(s):  
Serum Magnesium ◽  
Final Analysis ◽  
Wave Dispersion ◽  
Normal Serum ◽  
P Wave ◽  
P Wave Dispersion ◽  
Wave Duration ◽  
P Wave Duration ◽  
Pr Interval ◽  
Qrs Duration

BackgroundElectrocardiographic (ECG) characteristics of patients with isolated hypomagnesemia are not well defined. We aimed to investigate these ECG characteristics in order to define clearly the features of isolated hypomagnesemia.HypothesisLower serum magnesium could affect ECG parameters after excluding potential confounders.MethodsThis retrospective study was of patients with low serum magnesium &lt;0.65 mmol/L compared with the same patients after restoration to normal serum magnesium. Patients with hypokalemia, hypocalcemia and other electrolyte disturbances were excluded. ECG parameters manually determined and analyzed were P wave dispersion, PR interval, QRS duration, ST-T changes, T wave amplitude, T peak-to-end interval (Tpe), corrected Tpe (Tpec), QT, corrected QT (QTc), QT peak corrected (QTpc) and Tpe dispersion, Tpe/QT ratio.ResultsTwo-hundred-and-fourteen patients with isolated hypomagnesemia were identified with 50 of them (56.9 ± 13.6 years; 25 males) being eligible for final analysis from 270,997 patients presenting April 2011–October 2017. In the period of isolated hypomagnesemia, P wave duration was found prolonged (p ≤ 0.02); as was QTc (439 ± 27 vs. 433 ± 22, p = 0.01). Tpec (122 ± 24vs. 111 ± 22, p = 0.000) and Tpe/QT ratio (0.29 ± 0.05 vs. 0.27 ± 0.05, p = 0.000) were increased. QTpc decreased during hypomagnesemia (334 ± 28 vs. 342 ± 21, p = 0.02). However, no significant differences were found in PR interval, QRS duration (85 ± 12 ms vs. 86 ± 12 ms, p = 0.122) and ST-T segments between the patients and their own controls.ConclusionsIn patients with isolated hypomagnesemia, P wave duration, QTc, Tpec, and Tpe/QT ratio suggesting atrial depolarization and ventricular repolarization dispersion were significantly increased compared with normal magnesium levels in the same patients after restoration to normal levels.

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