Epsilon wave

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The epsilon wave is found in about 50% of patients with ARVD. This is described as a terminal notch in the QRS complex. It is due to slowed intraventricular conduction. The epsilon wave may be seen on a surface EKG; however, it is more commonly seen on signal averaged EKGs.

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ECG below shows Epsilon wave (red triangle) seen in ARVD

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ECG below shows Epsilon wave.

Sources

Copyleft images obtained courtesy of ECGpedia, http://en.ecgpedia.org/index.php?title=Special:NewFiles&offset=&limit=500