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.
ECG below shows Epsilon wave (red triangle) seen in ARVD
![](/images/3/3e/ARVD-Epsilon_wave.png)
ECG below shows Epsilon wave.
![](/images/c/c9/Epsilon_wave.png)