Key result
QRS frequency analysis identifies sustained VT in LBBB patients with ~86% accuracy.
Why the study?
Distinguishing patients with bundle branch block and sustained ventricular tachycardia from those without sustained ventricular tachycardia remains challenging.
Does frequency analysis of the QRS complex distinguish patients with bundle branch block and sustained ventricular tachycardia from those without sustained ventricular tachycardia?
Observational (n=71)
Does frequency analysis of the QRS complex distinguish patients with bundle branch block and sustained ventricular tachycardia from those without sustained ventricular tachycardia?
Frequency analysis of the QRS complex can accurately distinguish patients with left bundle branch block and sustained ventricular tachycardia from those without sustained ventricular tachycardia.
To distinguish patients with bundle branch block (BBB) and sustained ventricular tachycardia (s-VT) from patients with BBB but without s-VT, a frequency analysis of the QRS complex was performed in 71 patients. Frequency analysis of the QRS complex of patients with left bundle branch block (LBBB) showed that patients with s-VT had significantly larger areas and area ratios between 50 and 100 Hz in the X lead than patients without s-VT (area: -0.905 +/- 0.231 vs -1.195 +/- 0.286. area ratio: -0.783 +/- 0.230 vs -1.125 +/- 0.310; P < 0.05). The area and area ratios from 100 to 200 Hz in the Z lead were also larger in patients with s-VT. The highest predictive accuracy using the area ratio from 50 to 100 Hz in the X lead was 86%, with a sensitivity and specificity of 83% and 88%, respectively. In cases with LBBB, time domain analysis showed no significant difference between patients with s-VT and those without s-VT. Frequency analysis of the QRS complex may be useful for distinguishing LBBB patients with s-VT from those without s-VT.
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YONEDA et al. (1993) conducted an observational in Bundle branch block with and without sustained ventricular tachycardia (n=71). Sustained ventricular tachycardia (s-VT) vs. Without s-VT was evaluated on Area and area ratios between 50 and 100 Hz in the X lead (p=< 0.05). Frequency analysis of the QRS complex distinguished LBBB patients with sustained VT from those without, achieving a predictive accuracy of 86% (sensitivity 83%, specificity 88%).
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