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
Hauptverfasser: Huang, Chun-Yao, Shan, Din-E, Lai, Chao-Hung, Fong, Man-Cai, Huang, Po-Shun, Huang, Hsien-Hao, Lin, Shing-Jong, Chiang, Chern-En
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container_end_page 165
container_issue 1
container_start_page 163
container_title International journal of cardiology
container_volume 111
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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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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