R-Wave Peak Time at Lead II in Adults With Ventricular Premature Beats, Bundle Branch Block and Left Anterior Fascicular Block
Recently, the R-wave peak time (RWPT) at lead II was reported to be a helpful and simple tool for differentiating wide QRS complex tachycardias with a RWPT ≥ 50ms for ventricular tachycardia diagnosis. Our previous study showed that the duration of RWPT at lead II in adults was ≈29ms. However, the e...
Gespeichert in:
| Veröffentlicht in: | The American journal of the medical sciences 2018-01, Vol.355 (1), p.44-47 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 47 |
|---|---|
| container_issue | 1 |
| container_start_page | 44 |
| container_title | The American journal of the medical sciences |
| container_volume | 355 |
| creator | Yu, Min Chen, Tingting Hu, Shuang Zou, Shan Wang, Cantian Zeng, Chujuan Chen, Weijie Tan, Xuerui |
| description | Recently, the R-wave peak time (RWPT) at lead II was reported to be a helpful and simple tool for differentiating wide QRS complex tachycardias with a RWPT ≥ 50ms for ventricular tachycardia diagnosis. Our previous study showed that the duration of RWPT at lead II in adults was ≈29ms. However, the effects of ventricular premature beats (VPBs), bundle branch block (BBB) or left anterior fascicular block (LAFB) on RWPT at lead II remain unknown.
The study was conducted in the First Affiliated Hospital of Shantou University Medical College in Southern China. Adults with VPBs, BBB or LAFB were included. RWPT at lead II was determined.
Compared with the control groups, the right BBB, LAFB, RWPT were longer in groups with left BBB and VPBs. Compared with the group with left BBB, the group with VPBs had a significantly longer RWPT at lead II (54.20 ± 18.52 versus 84.76 ± 16.38ms, P < 0.01).
Our study showed that there is a significant difference in the RWPT at lead II between groups with left BBB, ventricular premature beat, right BBB and LAFB. A RWPT of 50ms may be optimal to differentiate between ventricular tachycardia and supraventricular tachycardia with right left BBB and LAFB, but not with left BBB. |
| doi_str_mv | 10.1016/j.amjms.2017.08.017 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1983257392</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0002962917304743</els_id><sourcerecordid>1983257392</sourcerecordid><originalsourceid>FETCH-LOGICAL-c309t-b71c037542a05866f67ec4a48cde54677844cbc3d8ec983d8e4af1ff412e37e13</originalsourceid><addsrcrecordid>eNp9kEtvEzEUhS0EoqHwC5CQlyw6gx_zsBcskopCpEitqkKX1o19R3U6j2J7KrHht-M0ocuujix951z5I-QjZyVnvPmyK2HYDbEUjLclU2WOV2TBa6kKoTV7TRaMMVHoRugT8i7GHWNcKC7fkhOhhdKi4Qvy97q4hUekVwj39MYPSCHRDYKj6zX1I126uU-R3vp0R3_hmIK3cw-BXgUcIM0B6QohxTO6mkfX51eA0d7RVT_Zewqjy1tdossxYfBToBcQ7XHhCXlP3nTQR_xwzFPy8-LbzfmPYnP5fX2-3BRWMp2Kbcstk21dCWC1apquadFWUCnrsK6atlVVZbdWOoVWq31U0PGuq7hA2SKXp-TzYfchTL9njMkMPlrsexhxmqPhuSXqVmqRUXlAbZhiDNiZh-AHCH8MZ2Yv3uzMk3izF2-YMjly69PxwLwd0D13_pvOwNcDgPmbjx6DySZwtOh8QJuMm_yLB_4B80WUgA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1983257392</pqid></control><display><type>article</type><title>R-Wave Peak Time at Lead II in Adults With Ventricular Premature Beats, Bundle Branch Block and Left Anterior Fascicular Block</title><source>Alma/SFX Local Collection</source><creator>Yu, Min ; Chen, Tingting ; Hu, Shuang ; Zou, Shan ; Wang, Cantian ; Zeng, Chujuan ; Chen, Weijie ; Tan, Xuerui</creator><creatorcontrib>Yu, Min ; Chen, Tingting ; Hu, Shuang ; Zou, Shan ; Wang, Cantian ; Zeng, Chujuan ; Chen, Weijie ; Tan, Xuerui</creatorcontrib><description>Recently, the R-wave peak time (RWPT) at lead II was reported to be a helpful and simple tool for differentiating wide QRS complex tachycardias with a RWPT ≥ 50ms for ventricular tachycardia diagnosis. Our previous study showed that the duration of RWPT at lead II in adults was ≈29ms. However, the effects of ventricular premature beats (VPBs), bundle branch block (BBB) or left anterior fascicular block (LAFB) on RWPT at lead II remain unknown.
The study was conducted in the First Affiliated Hospital of Shantou University Medical College in Southern China. Adults with VPBs, BBB or LAFB were included. RWPT at lead II was determined.
Compared with the control groups, the right BBB, LAFB, RWPT were longer in groups with left BBB and VPBs. Compared with the group with left BBB, the group with VPBs had a significantly longer RWPT at lead II (54.20 ± 18.52 versus 84.76 ± 16.38ms, P < 0.01).
Our study showed that there is a significant difference in the RWPT at lead II between groups with left BBB, ventricular premature beat, right BBB and LAFB. A RWPT of 50ms may be optimal to differentiate between ventricular tachycardia and supraventricular tachycardia with right left BBB and LAFB, but not with left BBB.</description><identifier>ISSN: 0002-9629</identifier><identifier>EISSN: 1538-2990</identifier><identifier>DOI: 10.1016/j.amjms.2017.08.017</identifier><identifier>PMID: 29289261</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Electrocardiography ; Supraventricular tachycardia ; Ventricular tachycardia ; Wide QRS complex tachycardia</subject><ispartof>The American journal of the medical sciences, 2018-01, Vol.355 (1), p.44-47</ispartof><rights>2018 Southern Society for Clinical Investigation</rights><rights>Copyright © 2018 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c309t-b71c037542a05866f67ec4a48cde54677844cbc3d8ec983d8e4af1ff412e37e13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29289261$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yu, Min</creatorcontrib><creatorcontrib>Chen, Tingting</creatorcontrib><creatorcontrib>Hu, Shuang</creatorcontrib><creatorcontrib>Zou, Shan</creatorcontrib><creatorcontrib>Wang, Cantian</creatorcontrib><creatorcontrib>Zeng, Chujuan</creatorcontrib><creatorcontrib>Chen, Weijie</creatorcontrib><creatorcontrib>Tan, Xuerui</creatorcontrib><title>R-Wave Peak Time at Lead II in Adults With Ventricular Premature Beats, Bundle Branch Block and Left Anterior Fascicular Block</title><title>The American journal of the medical sciences</title><addtitle>Am J Med Sci</addtitle><description>Recently, the R-wave peak time (RWPT) at lead II was reported to be a helpful and simple tool for differentiating wide QRS complex tachycardias with a RWPT ≥ 50ms for ventricular tachycardia diagnosis. Our previous study showed that the duration of RWPT at lead II in adults was ≈29ms. However, the effects of ventricular premature beats (VPBs), bundle branch block (BBB) or left anterior fascicular block (LAFB) on RWPT at lead II remain unknown.
The study was conducted in the First Affiliated Hospital of Shantou University Medical College in Southern China. Adults with VPBs, BBB or LAFB were included. RWPT at lead II was determined.
Compared with the control groups, the right BBB, LAFB, RWPT were longer in groups with left BBB and VPBs. Compared with the group with left BBB, the group with VPBs had a significantly longer RWPT at lead II (54.20 ± 18.52 versus 84.76 ± 16.38ms, P < 0.01).
Our study showed that there is a significant difference in the RWPT at lead II between groups with left BBB, ventricular premature beat, right BBB and LAFB. A RWPT of 50ms may be optimal to differentiate between ventricular tachycardia and supraventricular tachycardia with right left BBB and LAFB, but not with left BBB.</description><subject>Electrocardiography</subject><subject>Supraventricular tachycardia</subject><subject>Ventricular tachycardia</subject><subject>Wide QRS complex tachycardia</subject><issn>0002-9629</issn><issn>1538-2990</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kEtvEzEUhS0EoqHwC5CQlyw6gx_zsBcskopCpEitqkKX1o19R3U6j2J7KrHht-M0ocuujix951z5I-QjZyVnvPmyK2HYDbEUjLclU2WOV2TBa6kKoTV7TRaMMVHoRugT8i7GHWNcKC7fkhOhhdKi4Qvy97q4hUekVwj39MYPSCHRDYKj6zX1I126uU-R3vp0R3_hmIK3cw-BXgUcIM0B6QohxTO6mkfX51eA0d7RVT_Zewqjy1tdossxYfBToBcQ7XHhCXlP3nTQR_xwzFPy8-LbzfmPYnP5fX2-3BRWMp2Kbcstk21dCWC1apquadFWUCnrsK6atlVVZbdWOoVWq31U0PGuq7hA2SKXp-TzYfchTL9njMkMPlrsexhxmqPhuSXqVmqRUXlAbZhiDNiZh-AHCH8MZ2Yv3uzMk3izF2-YMjly69PxwLwd0D13_pvOwNcDgPmbjx6DySZwtOh8QJuMm_yLB_4B80WUgA</recordid><startdate>201801</startdate><enddate>201801</enddate><creator>Yu, Min</creator><creator>Chen, Tingting</creator><creator>Hu, Shuang</creator><creator>Zou, Shan</creator><creator>Wang, Cantian</creator><creator>Zeng, Chujuan</creator><creator>Chen, Weijie</creator><creator>Tan, Xuerui</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201801</creationdate><title>R-Wave Peak Time at Lead II in Adults With Ventricular Premature Beats, Bundle Branch Block and Left Anterior Fascicular Block</title><author>Yu, Min ; Chen, Tingting ; Hu, Shuang ; Zou, Shan ; Wang, Cantian ; Zeng, Chujuan ; Chen, Weijie ; Tan, Xuerui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-b71c037542a05866f67ec4a48cde54677844cbc3d8ec983d8e4af1ff412e37e13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Electrocardiography</topic><topic>Supraventricular tachycardia</topic><topic>Ventricular tachycardia</topic><topic>Wide QRS complex tachycardia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Min</creatorcontrib><creatorcontrib>Chen, Tingting</creatorcontrib><creatorcontrib>Hu, Shuang</creatorcontrib><creatorcontrib>Zou, Shan</creatorcontrib><creatorcontrib>Wang, Cantian</creatorcontrib><creatorcontrib>Zeng, Chujuan</creatorcontrib><creatorcontrib>Chen, Weijie</creatorcontrib><creatorcontrib>Tan, Xuerui</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of the medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Min</au><au>Chen, Tingting</au><au>Hu, Shuang</au><au>Zou, Shan</au><au>Wang, Cantian</au><au>Zeng, Chujuan</au><au>Chen, Weijie</au><au>Tan, Xuerui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>R-Wave Peak Time at Lead II in Adults With Ventricular Premature Beats, Bundle Branch Block and Left Anterior Fascicular Block</atitle><jtitle>The American journal of the medical sciences</jtitle><addtitle>Am J Med Sci</addtitle><date>2018-01</date><risdate>2018</risdate><volume>355</volume><issue>1</issue><spage>44</spage><epage>47</epage><pages>44-47</pages><issn>0002-9629</issn><eissn>1538-2990</eissn><abstract>Recently, the R-wave peak time (RWPT) at lead II was reported to be a helpful and simple tool for differentiating wide QRS complex tachycardias with a RWPT ≥ 50ms for ventricular tachycardia diagnosis. Our previous study showed that the duration of RWPT at lead II in adults was ≈29ms. However, the effects of ventricular premature beats (VPBs), bundle branch block (BBB) or left anterior fascicular block (LAFB) on RWPT at lead II remain unknown.
The study was conducted in the First Affiliated Hospital of Shantou University Medical College in Southern China. Adults with VPBs, BBB or LAFB were included. RWPT at lead II was determined.
Compared with the control groups, the right BBB, LAFB, RWPT were longer in groups with left BBB and VPBs. Compared with the group with left BBB, the group with VPBs had a significantly longer RWPT at lead II (54.20 ± 18.52 versus 84.76 ± 16.38ms, P < 0.01).
Our study showed that there is a significant difference in the RWPT at lead II between groups with left BBB, ventricular premature beat, right BBB and LAFB. A RWPT of 50ms may be optimal to differentiate between ventricular tachycardia and supraventricular tachycardia with right left BBB and LAFB, but not with left BBB.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29289261</pmid><doi>10.1016/j.amjms.2017.08.017</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9629 |
| ispartof | The American journal of the medical sciences, 2018-01, Vol.355 (1), p.44-47 |
| issn | 0002-9629 1538-2990 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1983257392 |
| source | Alma/SFX Local Collection |
| subjects | Electrocardiography Supraventricular tachycardia Ventricular tachycardia Wide QRS complex tachycardia |
| title | R-Wave Peak Time at Lead II in Adults With Ventricular Premature Beats, Bundle Branch Block and Left Anterior Fascicular Block |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T01%3A54%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=R-Wave%20Peak%20Time%20at%20Lead%20II%20in%20Adults%20With%20Ventricular%20Premature%20Beats,%20Bundle%20Branch%20Block%20and%20Left%20Anterior%20Fascicular%20Block&rft.jtitle=The%20American%20journal%20of%20the%20medical%20sciences&rft.au=Yu,%20Min&rft.date=2018-01&rft.volume=355&rft.issue=1&rft.spage=44&rft.epage=47&rft.pages=44-47&rft.issn=0002-9629&rft.eissn=1538-2990&rft_id=info:doi/10.1016/j.amjms.2017.08.017&rft_dat=%3Cproquest_cross%3E1983257392%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1983257392&rft_id=info:pmid/29289261&rft_els_id=S0002962917304743&rfr_iscdi=true |