Signal-averaged electrocardiography: Past, present, and future

被引：45

作者：

Gatzoulis, Konstantinos A. ^{[1
,2
]}

Arsenos, Petros ^{[1
,2
]}

Trachanas, Konstantinos ^{[3
]}

Dilaveris, Polychronis ^{[1
,2
]}

Antoniou, Christos ^{[1
,2
]}

Tsiachris, Dimitris ^{[4
]}

Sideris, Skevos ^{[3
]}

Kolettis, Theofilos M. ^{[5
,6
]}

Tousoulis, Dimitrios ^{[1
,2
]}

机构：

[1] Natl & Kapodestrian Univ Athens, Hippokrat Gen Hosp, Electrophysiol Lab, Athens, Greece

[2] Natl & Kapodestrian Univ Athens, Hippokrat Gen Hosp, Univ Dept Cardiol 1, Athens, Greece

[3] Hippokrateion Hosp, Dept Cardiol, Athens, Greece

[4] Athens Med Ctr, Electrophysiol Lab, Athens, Greece

[5] Univ Ioannina, Dept Cardiol, Ioannina, Greece

[6] Cardiovasc Res Inst, Ioannina, Greece

来源：

JOURNAL OF ARRHYTHMIA | 2018年 / 34卷 / 03期

关键词：

late potentials; myocardial infarction; risk stratification; syncope; ventricular tachycardia;

D O I：

10.1002/joa3.12062

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Signal-averaged electrocardiography records delayed depolarization of myocardial areas with slow conduction that can form the substrate for monomorphic ventricular tachycardia. This technique has been examined mostly in patients with coronary artery disease, but its use has been declined over the years. However, several lines of evidence, derived from hitherto clinical data in patients with healed myocardial infarction, indicate that signal-averaged electrocardiography remains a valuable tool in risk stratification, especially when incorporated into algorithms encompassing invasive and noninvasive indices. Such an approach can aid the more precise identification of candidates for device therapy, in the context of primary prevention of sudden cardiac death. This article reappraises the value of signal-averaged electrocardiography as a predictor of arrhythmic outcome in patients with ischemic heart disease and discusses potential future indications.

引用

页码：222 / 229

页数：8

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