Pulmonic regurgitation electrocardiogram: Difference between revisions
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==Overview== | ==Overview== | ||
EKG findings in patients wit chronic PR may be non specific. However, in patients with tetrology of fallot may show increased QRS duration with widened QRS complex. It may reflect the severity of PR and right ventricular dilation predisposing the patient to develop arrythmias. <ref name="pmid7600655">{{cite journal| author=Gatzoulis MA, Till JA, Somerville J, Redington AN| title=Mechanoelectrical interaction in tetralogy of Fallot. QRS prolongation relates to right ventricular size and predicts malignant ventricular arrhythmias and sudden death. | journal=Circulation | year= 1995 | volume= 92 | issue= 2 | pages= 231-7 | pmid=7600655 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7600655 }}</ref><ref name="pmid10995413">{{cite journal| author=Abd El Rahman MY, Abdul-Khaliq H, Vogel M, Alexi-Meskishvili V, Gutberlet M, Lange PE| title=Relation between right ventricular enlargement, QRS duration, and right ventricular function in patients with tetralogy of Fallot and pulmonary regurgitation after surgical repair. | journal=Heart | year= 2000 | volume= 84 | issue= 4 | pages= 416-20 | pmid=10995413 | doi= | pmc=1729453 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10995413 }} </ref> | |||
==EKG== | ==EKG== | ||
EKG findings in patients with pulmonary regurgitation may include the following: | |||
*EKG findings in chronic PR are non specific. | *EKG findings in chronic PR are non specific. | ||
*In patients with tetralogy of Fallot increased QRS duration with widened QRS complex reflects the severity of PR and right ventricular dilation predisposing the patients to develop malignant arrythmias. <ref name="pmid7600655">{{cite journal| author=Gatzoulis MA, Till JA, Somerville J, Redington AN| title=Mechanoelectrical interaction in tetralogy of Fallot. QRS prolongation relates to right ventricular size and predicts malignant ventricular arrhythmias and sudden death. | journal=Circulation | year= 1995 | volume= 92 | issue= 2 | pages= 231-7 | pmid=7600655 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7600655 }}</ref><ref name="pmid10995413">{{cite journal| author=Abd El Rahman MY, Abdul-Khaliq H, Vogel M, Alexi-Meskishvili V, Gutberlet M, Lange PE| title=Relation between right ventricular enlargement, QRS duration, and right ventricular function in patients with tetralogy of Fallot and pulmonary regurgitation after surgical repair. | journal=Heart | year= 2000 | volume= 84 | issue= 4 | pages= 416-20 | pmid=10995413 | doi= | pmc=1729453 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10995413 }} </ref> | *In patients with tetralogy of Fallot increased QRS duration with widened QRS complex reflects the severity of PR and right ventricular dilation predisposing the patients to develop malignant arrythmias. <ref name="pmid7600655">{{cite journal| author=Gatzoulis MA, Till JA, Somerville J, Redington AN| title=Mechanoelectrical interaction in tetralogy of Fallot. QRS prolongation relates to right ventricular size and predicts malignant ventricular arrhythmias and sudden death. | journal=Circulation | year= 1995 | volume= 92 | issue= 2 | pages= 231-7 | pmid=7600655 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7600655 }}</ref><ref name="pmid10995413">{{cite journal| author=Abd El Rahman MY, Abdul-Khaliq H, Vogel M, Alexi-Meskishvili V, Gutberlet M, Lange PE| title=Relation between right ventricular enlargement, QRS duration, and right ventricular function in patients with tetralogy of Fallot and pulmonary regurgitation after surgical repair. | journal=Heart | year= 2000 | volume= 84 | issue= 4 | pages= 416-20 | pmid=10995413 | doi= | pmc=1729453 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10995413 }} </ref> | ||
Revision as of 16:06, 3 January 2017
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Pulmonic regurgitation Microchapters |
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Diagnosis |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1], Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2], Aysha Anwar, M.B.B.S[3]
Overview
EKG findings in patients wit chronic PR may be non specific. However, in patients with tetrology of fallot may show increased QRS duration with widened QRS complex. It may reflect the severity of PR and right ventricular dilation predisposing the patient to develop arrythmias. [1][2]
EKG
EKG findings in patients with pulmonary regurgitation may include the following:
- EKG findings in chronic PR are non specific.
- In patients with tetralogy of Fallot increased QRS duration with widened QRS complex reflects the severity of PR and right ventricular dilation predisposing the patients to develop malignant arrythmias. [1][2]
- In patients with RV volume overload and isolated PR, QRS prolongation with rSr morphology can be seen in right precordial leads.
- RBB is common in majority of patients who have tetralogy of Fallot repair with right ventriculotomy.
References
- ↑ 1.0 1.1 Gatzoulis MA, Till JA, Somerville J, Redington AN (1995). "Mechanoelectrical interaction in tetralogy of Fallot. QRS prolongation relates to right ventricular size and predicts malignant ventricular arrhythmias and sudden death". Circulation. 92 (2): 231–7. PMID 7600655.
- ↑ 2.0 2.1 Abd El Rahman MY, Abdul-Khaliq H, Vogel M, Alexi-Meskishvili V, Gutberlet M, Lange PE (2000). "Relation between right ventricular enlargement, QRS duration, and right ventricular function in patients with tetralogy of Fallot and pulmonary regurgitation after surgical repair". Heart. 84 (4): 416–20. PMC 1729453. PMID 10995413.