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

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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

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

Page 1: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)

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

Page 2: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)
Page 3: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)
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QRS durationin V2 > 120 msec

J Card Electrophysiology 2008

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Okhubo et al. Int Heart J 2011

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R>0.3 mV R/q >0.75

Heart Rhythm 2007

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J Electrocardiography 2013

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Mugnai et al Am J Cardiol 2017

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Makimoto et al JACC 2010

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Europace 2018

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Antzelevich et al Heart Rhythm 2016

Early repolarization

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Page 15: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)
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Early repolarization

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Page 18: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)
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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

Page 20: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)
Page 21: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)
Page 22: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)
Page 23: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)
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QTc (Bazett Formula) : 355 msec QTc (Hodges Formula) : 390 msec

HR: 43 bpm

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

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Recent advances in short QT syndrome Capuzano et al 2018

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Long QT

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Priori et al 2001

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Mazzanti et al JACC 2018

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Int J Card 2018

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Page 35: Έχ xι α ία ο ΗΚΓ xπιφα xίας ση ... · FIGURE Electrocardiographic Patterns in Brugada Syndrome p angle 2580 Base of triangle 24 mm Type 1 - "Coved" (diagnostic)
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Schwartz criteria

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BRUGADA

Antzelevich et al Heart Rhythm 2016

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• ST augmentation at the early recovery

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

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