Pulmonic regurgitation electrocardiogram: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
Line 5: Line 5:
==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]] 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>
==Electrocardiogram==
===Key EKG Findings in Pulmonic regurgitation===
[[EKG]] findings among [[patients]] with [[pulmonary regurgitation]] (PR) may include the following:
*EKG findings demonstrated in chronic [[PR]] are non specific.
*Among patients with [[tetralogy of Fallot]] (TOF) 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>
*Among [[patients]] with [[RV]] [[volume overload]] and isolated [[PR]], [[QRS]] prolongation with [[rSr]] morphology can be seen in right [[precordial leads]].
*[[Right bundle branch block|RBB]] is common among the majority of [[patients]] who have [[tetralogy of Fallot]] repair with right ventriculotomy.
*[[Ventricular tachycardia]] is demonstrated on EKG among [[patients]] with [[PR]] and [[RV]] dilatation.<ref name="pmid17569817">{{cite journal |vauthors=Chaturvedi RR, Redington AN |title=Pulmonary regurgitation in congenital heart disease |journal=Heart |volume=93 |issue=7 |pages=880–9 |date=July 2007 |pmid=17569817 |pmc=1994453 |doi=10.1136/hrt.2005.075234 |url=}}</ref>
*Due to [[PR]], chronic [[RV]] volume overload has been associated with a prolonged [[QRS]]. All [[patients]] with [[ventricular tachycardia]] or [[sudden death]] have demonstrated [[QRS]] duration of ⩾180 ms.<ref name="pmid7600655">{{cite journal |vauthors=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 |volume=92 |issue=2 |pages=231–7 |date=July 1995 |pmid=7600655 |doi=10.1161/01.cir.92.2.231 |url=}}</ref>
*[[Patients]] may develop [[atrial flutter]]/[[atrial fibrillation|fibrillation]] after years of [[PR]] development.<ref name="pmid17569817">{{cite journal |vauthors=Chaturvedi RR, Redington AN |title=Pulmonary regurgitation in congenital heart disease |journal=Heart |volume=93 |issue=7 |pages=880–9 |date=July 2007 |pmid=17569817 |pmc=1994453 |doi=10.1136/hrt.2005.075234 |url=}}</ref>
==EKG examples==


==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]]. <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 [[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==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 18:21, 6 August 2020

Pulmonic regurgitation Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differential diagnosis

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Electrocardiogram

Chest X-Ray

Echocardiography

Cardiac MRI

Severity Assessment

Treatment

Medical Therapy

Surgical therapy

Follow up

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]

Electrocardiogram

Key EKG Findings in Pulmonic regurgitation

EKG findings among patients with pulmonary regurgitation (PR) may include the following:

EKG examples

References

  1. ↑ 1.0 1.1 1.2 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. ↑ 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.
  3. ↑ 3.0 3.1 Chaturvedi RR, Redington AN (July 2007). "Pulmonary regurgitation in congenital heart disease". Heart. 93 (7): 880–9. doi:10.1136/hrt.2005.075234. PMC 1994453. PMID 17569817.
Retrieved from "https://www.wikidoc.org/index.php?title=Pulmonic_regurgitation_electrocardiogram&oldid=1648136"