Hepatocellular carcinoma electrocardiogram
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]
Overview
Low voltage complexes in the precordial leads may also be noticed in patients due to fluid overload. An ECG may be helpful in the diagnosis of metastatic hepatocellular carcinoma into the right ventricle. Findings on an ECG suggestive of metastasis of hepatocellular carcinoma into the right ventricle include low voltage in limb leads and diffuse T-wave inversion
ECG findings in Hepatocellular Carcinoma
Attenuation of ECG voltage [1]
- Attenuation of ECG voltages is noticed mainly in patients who have ascites and peripheral edema
- This finding may be corrected by placing leads cranially[2]
- Peripheral edema may be strongly correlated with this finding
- Diuretic use in case of peripheral edema leads to improvement in ECG findings
- paracentesis has no effect on ECG findings[1]
References
- ↑ 1.0 1.1 Madias JE (2007). "Attenuation of ECG voltage in cirrhotic patients". Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology. 9 (3): 175–81. doi:10.1093/europace/eul182. PMID 17344308. Retrieved 2012-09-06.
- ↑ http://europace.oxfordjournals.org/content/10/1/96.abstract