Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in...

Post on 05-Aug-2020

11 views 0 download

Transcript of Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in...

Έχει αξία το ΗΚΓ επιφανείας στη διαστρωμάτωση κινδύνου σε ασθενείς με καναλοπάθειες ;

EHRA accredited in EP and Devices (Step 2)

Γ. Λεβεντόπουλος MD, PhD

Επιμελητής Β’ Καρδιολογίας

QRS durationin V2 > 120 msec

J Card Electrophysiology 2008

Okhubo et al. Int Heart J 2011

R>0.3 mV R/q >0.75

Heart Rhythm 2007

J Electrocardiography 2013

Mugnai et al Am J Cardiol 2017

Makimoto et al JACC 2010

Europace 2018

Antzelevich et al Heart Rhythm 2016

Early repolarization

Early repolarization

Regression analysis revealed a less steep slope for the SQTS pts compared to the control group never exceeding the cut off value of -0.9 ms/beat/min

QTc (Bazett Formula) : 355 msec QTc (Hodges Formula) : 390 msec

HR: 43 bpm

Mazzanti A, Priori SG. J Cardiovasc Electrophysiol. (2017) 28:1226–36.

Recent advances in short QT syndrome Capuzano et al 2018

Long QT

Priori et al 2001

Mazzanti et al JACC 2018

Int J Card 2018

Schwartz criteria

BRUGADA

Antzelevich et al Heart Rhythm 2016

• ST augmentation at the early recovery

• Conduction abnormalities• Inferolateral ER• Signal averaged ECG• Large S in I