An accurate electrocardiographic algorithm for differentiation of tremor-induced pseudo-ventricular tachycardia and true ventricular tachycardia
Tremor-induced electrocardiographic artifacts could be misdiagnosed as ventricular tachycardia (VT). However, there has been no electrocardiographic algorithm effectively differentiating pseudo-VT. In this study, we used 3 electrocardiographic “signs”: “Sinus” sign, “Spike” sign, and “Notch” sign, a...
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Veröffentlicht in: | International journal of cardiology 2006-07, Vol.111 (1), p.163-165 |
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container_title | International journal of cardiology |
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creator | Huang, Chun-Yao Shan, Din-E Lai, Chao-Hung Fong, Man-Cai Huang, Po-Shun Huang, Hsien-Hao Lin, Shing-Jong Chiang, Chern-En |
description | Tremor-induced electrocardiographic artifacts could be misdiagnosed as ventricular tachycardia (VT). However, there has been no electrocardiographic algorithm effectively differentiating pseudo-VT. In this study, we used 3 electrocardiographic “signs”: “Sinus” sign, “Spike” sign, and “Notch” sign, and created an electrocardiographic algorithm. The algorithm was prospectively tested in 98 electrocardiographs (37 tremor-induced pseudo-VT and 61 true VT) Thirty-six out of 37 (97.3%) tremor-induced pseudo-VTs could be accurately diagnosed. In conclusion, this is the first study to systemically analyze the tremor-induced pseudo-VT. Our new electrocardiographic algorithm provides a useful tool for a rapid and accurate diagnosis. |
doi_str_mv | 10.1016/j.ijcard.2005.06.017 |
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However, there has been no electrocardiographic algorithm effectively differentiating pseudo-VT. In this study, we used 3 electrocardiographic “signs”: “Sinus” sign, “Spike” sign, and “Notch” sign, and created an electrocardiographic algorithm. The algorithm was prospectively tested in 98 electrocardiographs (37 tremor-induced pseudo-VT and 61 true VT) Thirty-six out of 37 (97.3%) tremor-induced pseudo-VTs could be accurately diagnosed. In conclusion, this is the first study to systemically analyze the tremor-induced pseudo-VT. Our new electrocardiographic algorithm provides a useful tool for a rapid and accurate diagnosis.</description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/j.ijcard.2005.06.017</identifier><identifier>PMID: 16026871</identifier><identifier>CODEN: IJCDD5</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Algorithms ; Biological and medical sciences ; Cardiac dysrhythmias ; Cardiology. Vascular system ; Diagnosis, Differential ; Electrocardiography ; Heart ; Humans ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Reproducibility of Results ; Tachycardia, Ventricular - diagnosis ; Tachycardia, Ventricular - etiology ; Tremor ; Tremor - complications ; Ventricular tachycardia</subject><ispartof>International journal of cardiology, 2006-07, Vol.111 (1), p.163-165</ispartof><rights>2005 Elsevier Ireland Ltd</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-ba7df4235b408bcd8e6c261c516204fe9e8441c44052ff963eeca0b97742937b3</citedby><cites>FETCH-LOGICAL-c390t-ba7df4235b408bcd8e6c261c516204fe9e8441c44052ff963eeca0b97742937b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0167527305008442$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18021418$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16026871$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Chun-Yao</creatorcontrib><creatorcontrib>Shan, Din-E</creatorcontrib><creatorcontrib>Lai, Chao-Hung</creatorcontrib><creatorcontrib>Fong, Man-Cai</creatorcontrib><creatorcontrib>Huang, Po-Shun</creatorcontrib><creatorcontrib>Huang, Hsien-Hao</creatorcontrib><creatorcontrib>Lin, Shing-Jong</creatorcontrib><creatorcontrib>Chiang, Chern-En</creatorcontrib><title>An accurate electrocardiographic algorithm for differentiation of tremor-induced pseudo-ventricular tachycardia and true ventricular tachycardia</title><title>International journal of cardiology</title><addtitle>Int J Cardiol</addtitle><description>Tremor-induced electrocardiographic artifacts could be misdiagnosed as ventricular tachycardia (VT). However, there has been no electrocardiographic algorithm effectively differentiating pseudo-VT. In this study, we used 3 electrocardiographic “signs”: “Sinus” sign, “Spike” sign, and “Notch” sign, and created an electrocardiographic algorithm. The algorithm was prospectively tested in 98 electrocardiographs (37 tremor-induced pseudo-VT and 61 true VT) Thirty-six out of 37 (97.3%) tremor-induced pseudo-VTs could be accurately diagnosed. In conclusion, this is the first study to systemically analyze the tremor-induced pseudo-VT. Our new electrocardiographic algorithm provides a useful tool for a rapid and accurate diagnosis.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Algorithms</subject><subject>Biological and medical sciences</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Diagnosis, Differential</subject><subject>Electrocardiography</subject><subject>Heart</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Reproducibility of Results</subject><subject>Tachycardia, Ventricular - diagnosis</subject><subject>Tachycardia, Ventricular - etiology</subject><subject>Tremor</subject><subject>Tremor - complications</subject><subject>Ventricular tachycardia</subject><issn>0167-5273</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1q3DAUhUVpaSZp36AUbdqdXcmWJXlTCKH5gUA37VrIV1cZDbY1lexA3iKPXE1nIKtmpc13zhXnI-QTZzVnXH7b1WEHNrm6YayrmawZV2_IhmslKq468ZZsCqaqrlHtGTnPeccYE32v35MzLlkjteIb8nw5UwuwJrsgxRFhSfHQGuJDsvttAGrHh5jCsp2oj4m64D0mnJdglxBnGj1dEk4xVWF2K6Cj-4yri9VjYVKAdbSJLha2T_9aLbWzK4kV6X-AD-Sdt2PGj6f3gvy-_vHr6ra6_3lzd3V5X0Hbs6UarHJeNG03CKYHcBolNJJDx2XDhMcetRAchGBd430vW0SwbOiVEk3fqqG9IF-PvfsU_6yYFzOFDDiOdsa4ZiO11Jo1ooDiCEKKOSf0Zp_CZNOT4cwcTJidOZowBxOGSVNMlNjnU_86TOheQqfpC_DlBNgMdvTJzhDyC1eOc8F14b4fOSxrPAZMJkPAuUwdUtFlXAyv_-QvPditDw</recordid><startdate>20060728</startdate><enddate>20060728</enddate><creator>Huang, Chun-Yao</creator><creator>Shan, Din-E</creator><creator>Lai, Chao-Hung</creator><creator>Fong, Man-Cai</creator><creator>Huang, Po-Shun</creator><creator>Huang, Hsien-Hao</creator><creator>Lin, Shing-Jong</creator><creator>Chiang, Chern-En</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060728</creationdate><title>An accurate electrocardiographic algorithm for differentiation of tremor-induced pseudo-ventricular tachycardia and true ventricular tachycardia</title><author>Huang, Chun-Yao ; Shan, Din-E ; Lai, Chao-Hung ; Fong, Man-Cai ; Huang, Po-Shun ; Huang, Hsien-Hao ; Lin, Shing-Jong ; Chiang, Chern-En</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-ba7df4235b408bcd8e6c261c516204fe9e8441c44052ff963eeca0b97742937b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Algorithms</topic><topic>Biological and medical sciences</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Diagnosis, Differential</topic><topic>Electrocardiography</topic><topic>Heart</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Reproducibility of Results</topic><topic>Tachycardia, Ventricular - diagnosis</topic><topic>Tachycardia, Ventricular - etiology</topic><topic>Tremor</topic><topic>Tremor - complications</topic><topic>Ventricular tachycardia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Chun-Yao</creatorcontrib><creatorcontrib>Shan, Din-E</creatorcontrib><creatorcontrib>Lai, Chao-Hung</creatorcontrib><creatorcontrib>Fong, Man-Cai</creatorcontrib><creatorcontrib>Huang, Po-Shun</creatorcontrib><creatorcontrib>Huang, Hsien-Hao</creatorcontrib><creatorcontrib>Lin, Shing-Jong</creatorcontrib><creatorcontrib>Chiang, Chern-En</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Chun-Yao</au><au>Shan, Din-E</au><au>Lai, Chao-Hung</au><au>Fong, Man-Cai</au><au>Huang, Po-Shun</au><au>Huang, Hsien-Hao</au><au>Lin, Shing-Jong</au><au>Chiang, Chern-En</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An accurate electrocardiographic algorithm for differentiation of tremor-induced pseudo-ventricular tachycardia and true ventricular tachycardia</atitle><jtitle>International journal of cardiology</jtitle><addtitle>Int J Cardiol</addtitle><date>2006-07-28</date><risdate>2006</risdate><volume>111</volume><issue>1</issue><spage>163</spage><epage>165</epage><pages>163-165</pages><issn>0167-5273</issn><eissn>1874-1754</eissn><coden>IJCDD5</coden><abstract>Tremor-induced electrocardiographic artifacts could be misdiagnosed as ventricular tachycardia (VT). However, there has been no electrocardiographic algorithm effectively differentiating pseudo-VT. In this study, we used 3 electrocardiographic “signs”: “Sinus” sign, “Spike” sign, and “Notch” sign, and created an electrocardiographic algorithm. The algorithm was prospectively tested in 98 electrocardiographs (37 tremor-induced pseudo-VT and 61 true VT) Thirty-six out of 37 (97.3%) tremor-induced pseudo-VTs could be accurately diagnosed. In conclusion, this is the first study to systemically analyze the tremor-induced pseudo-VT. Our new electrocardiographic algorithm provides a useful tool for a rapid and accurate diagnosis.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>16026871</pmid><doi>10.1016/j.ijcard.2005.06.017</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Aged Aged, 80 and over Algorithms Biological and medical sciences Cardiac dysrhythmias Cardiology. Vascular system Diagnosis, Differential Electrocardiography Heart Humans Medical sciences Middle Aged Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Reproducibility of Results Tachycardia, Ventricular - diagnosis Tachycardia, Ventricular - etiology Tremor Tremor - complications Ventricular tachycardia |
title | An accurate electrocardiographic algorithm for differentiation of tremor-induced pseudo-ventricular tachycardia and true ventricular tachycardia |
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