Patent foramen ovale electrocardiogram: Difference between revisions
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{{Patent foramen ovale}} | {{Patent foramen ovale}} | ||
{{CMG}}; '''Associate Editors-In-Chief:''' {{IO}}, [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com], [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | |||
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com] | |||
==Overview== | ==Overview== | ||
Stroke patients with patent foramen ovale may be identified with the crochetage pattern seen on | [[Stroke]] patients with [[patent foramen ovale]] may be identified with the crochetage pattern seen on [[ECG]]. The crochetage pattern is described as an M-shaped bifid notch on the ascending branch, or on the zenith, of the R wave in inferior [[ECG]] leads (II, III, aVF). | ||
==Electrocardiogram== | ==Electrocardiogram== | ||
Findings on ECG that may be seen in patients with patent foramen ovale include:<ref name="pmid9660393">{{cite journal| author=Ay H, Buonanno FS, Abraham SA, Kistler JP, Koroshetz WJ| title=An electrocardiographic criterion for diagnosis of patent foramen ovale associated with ischemic stroke. | journal=Stroke | year= 1998 | volume= 29 | issue= 7 | pages= 1393-7 | pmid=9660393 | doi=10.1161/01.str.29.7.1393 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9660393 }} </ref><ref name="pmid16963068">{{cite journal| author=Belvís R, Leta RG, Martínez-Domeño A, Planas F, Martí-Fàbregas J, Carreras F | display-authors=etal| title=Electrocardiographic findings in patients with cryptogenic ischemic stroke and patent foramen ovale. | journal=J Electrocardiol | year= 2007 | volume= 40 | issue= 2 | pages= 168-71 | pmid=16963068 | doi=10.1016/j.jelectrocard.2006.07.005 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16963068 }} </ref> | Findings on [[ECG]] that may be seen in patients with [[patent foramen ovale]] include:<ref name="pmid9660393">{{cite journal| author=Ay H, Buonanno FS, Abraham SA, Kistler JP, Koroshetz WJ| title=An electrocardiographic criterion for diagnosis of patent foramen ovale associated with ischemic stroke. | journal=Stroke | year= 1998 | volume= 29 | issue= 7 | pages= 1393-7 | pmid=9660393 | doi=10.1161/01.str.29.7.1393 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9660393 }} </ref><ref name="pmid16963068">{{cite journal| author=Belvís R, Leta RG, Martínez-Domeño A, Planas F, Martí-Fàbregas J, Carreras F | display-authors=etal| title=Electrocardiographic findings in patients with cryptogenic ischemic stroke and patent foramen ovale. | journal=J Electrocardiol | year= 2007 | volume= 40 | issue= 2 | pages= 168-71 | pmid=16963068 | doi=10.1016/j.jelectrocard.2006.07.005 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16963068 }} </ref> | ||
*Crochetage pattern: An M-shaped bifid notch on the ascending branch, or on the zenith, of the R wave in inferior ECG leads (II, III, aVF). | *Crochetage pattern: An M-shaped bifid notch on the ascending branch, or on the zenith, of the R wave in inferior [[ECG]] leads (II, III, aVF). | ||
*Right bundle branch block (RBBB) | *[[Right bundle branch block]] (RBBB) | ||
*P wave abnormalities | *[[P wave]] abnormalities | ||
==References== | ==References== | ||
Latest revision as of 16:13, 14 February 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Ifeoma Odukwe, M.D. [2], Priyamvada Singh, M.B.B.S. [3], Kristin Feeney, B.S. [4]
Overview
Stroke patients with patent foramen ovale may be identified with the crochetage pattern seen on ECG. The crochetage pattern is described as an M-shaped bifid notch on the ascending branch, or on the zenith, of the R wave in inferior ECG leads (II, III, aVF).
Electrocardiogram
Findings on ECG that may be seen in patients with patent foramen ovale include:[1][2]
- Crochetage pattern: An M-shaped bifid notch on the ascending branch, or on the zenith, of the R wave in inferior ECG leads (II, III, aVF).
- Right bundle branch block (RBBB)
- P wave abnormalities
References
- ↑ Ay H, Buonanno FS, Abraham SA, Kistler JP, Koroshetz WJ (1998). "An electrocardiographic criterion for diagnosis of patent foramen ovale associated with ischemic stroke". Stroke. 29 (7): 1393–7. doi:10.1161/01.str.29.7.1393. PMID 9660393.
- ↑ Belvís R, Leta RG, Martínez-Domeño A, Planas F, Martí-Fàbregas J, Carreras F; et al. (2007). "Electrocardiographic findings in patients with cryptogenic ischemic stroke and patent foramen ovale". J Electrocardiol. 40 (2): 168–71. doi:10.1016/j.jelectrocard.2006.07.005. PMID 16963068.