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July 1, 1996Pacing and Clinical Electrophysiology

Body surface mapping in two patients with idiopathic long QT syndrome revealed that T wave alternans were related to alternate heterogeneous prolongation of action potential duration in the left frontal chest.

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Why the study?

What are the spatial characteristics of T wave alternans in patients with idiopathic long QT syndrome as assessed by body surface mapping?

Population

2 patients with idiopathic long QT syndrome

Design

Case_series

Key result

Body surface mapping in two patients with idiopathic long QT syndrome revealed that T wave alternans were related to alternate heterogeneous prolongation of action potential duration in the left frontal chest.

Authors

WSWataru ShimizuSKShiro KamakuraYAYoshio Arakaki

Discussion

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Overview

Supports hypothesis of regional APD heterogeneity in idiopathic LQTS; leaves open whether body surface mapping aids risk stratification.

Study Design

Type

Case Report (n=2)

Structured PICO

What are the spatial characteristics of T wave alternans in patients with idiopathic long QT syndrome as assessed by body surface mapping?

P
Population
2 patients with idiopathic long QT syndrome experiencing T wave alternans.
E
Exposure
Body surface mapping (87-lead ECGs)
O
Outcome
Characteristics of T wave alternans (morphology, polarity, and QRST isointegral maps)surrogate

Body surface mapping demonstrates that T wave alternans in idiopathic long QT syndrome is related to alternate heterogeneous prolongation of the action potential duration in the left frontal chest.

Cite This Study

Shimizu et al. (1996) conducted a case report in Idiopathic long QT syndrome (n=2). Body surface mapping was evaluated on T wave alternans morphology and polarity changes. Body surface mapping in two patients with idiopathic long QT syndrome revealed that T wave alternans were related to alternate heterogeneous prolongation of action potential duration in the left frontal chest.

synapsesocial.com/papers/6a236b186bc3bf64e44c92cchttps://doi.org/10.1111/j.1540-8159.1996.tb03426.x
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