On the mechanism of augmentation of electrocardiogram QRS complexes in patients with congestive heart failure responding to diuresis

Journal of Electrocardiology

Volumn 38, Issue 1, 2005, Pages 54-57

  Madias, John E ^a,b  

^a ELMHURST HOSPITAL CENTER   (United States)

^b MOUNT SINAI SCHOOL OF MEDICINE   (United States)

Author keywords

"Brody effect"; Anasarca; Body volume conductor; Congestive heart failure; Diuresis; Transfer electrical resistance

Indexed keywords

ANASARCA; ARTICLE; BLOOD VOLUME; CONGESTIVE HEART FAILURE; DIURESIS; ELECTRIC CONDUCTIVITY; ELECTRIC RESISTANCE; ELECTROCARDIOGRAPHY; HUMAN; PRIORITY JOURNAL; QRS COMPLEX; THEORETICAL STUDY; TREATMENT OUTCOME; VALIDATION PROCESS; WATER LOSS; ZOLLINGER ELLISON SYNDROME;

BODY WATER; CARDIAC VOLUME; DIURESIS; EDEMA; ELECTRIC IMPEDANCE; ELECTROCARDIOGRAPHY; HEART FAILURE, CONGESTIVE; HUMANS; KIDNEY FAILURE, CHRONIC; RENAL DIALYSIS;

EID: 12344290126     PISSN: 00220736     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jelectrocard.2004.09.009     Document Type: Article

References (24)

1. H.J.J. Wellens, and A.P. Goegels The electrocardiogram 102 years after Einthoven Circulation 109 2004 562
2. D.A. Brody A theoretical analysis of intracavitary blood mass influence on the electrocardiogram Circ. Res. 4 1956 731
3. K. Ishikawa, A.S. Berson, and H.W. Pipberger Electrocardiographic changes due to cardiac enlargement Am. Heart J. 81 1971 635
4. CV Nelson, RL Lange, and H.H. Hecht Effects of intracardiac blood and of fluids of different conductivities on the magnitude of surface vectors Circulation 14 1956 977
5. C.V. Nelson, M. Chatterjee, and E.T. Angelakos Further studies on the effect of the intracardiac blood on the electrocardiogram Proc. N. Engl. Cardiovasc. Soc. 16 1957-1958 20
6. R.H. Bayley, J.M. Kalbfleisch, and P.M. Berry Changes in the body's QRS surface potentials produced by alterations in certain compartments of the nonhomogeneous conducting model Am. Heart J. 62 1961 83
7. E.T. Angelakos, and N. Gokhan Influence of venous inflow volume on the magnitude of the QRS potentials in vivo Cardiologia 42 1963 337
8. D.B. Geselowitz, and H. Ishiwatari A theoretic study of the effect of the intracavitary blood mass on the dipolarity of an equivalent heart generator I. Hoffman R. Taymore Vectorcardiography 1966 J.B. Lippincott Co. Philadelphia 393
9. Y. Rudy, R. Wood, and R. Plonsey The effect of high lung conductivity on electrocardiographic potentials. Results from human subjects undergoing bronchopulmonary lavage Circulation 65 1982 440
10. L.A. Geddes, and L.E. Baker The specific resistance of biological material-a compendium of data for the biomedical engineer and physiologist Med. Biol. Eng. 5 1967 271
11. F.N. Wilson, F.D. Johnston, and F. Rosenbaum The precordial electrogram Am. Heart J. 27 1944 19
12. J.M. Van De Water, B.E. Mount, and J.R. Barela Monitoring the chest with impedance Chest 64 1973 597
13. Y. Rudy The electrocardiogram and its relationship to excitation of the heart N. Sperelakis Physiology and pathophysiology of the heart 3rd ed. 1995 Kluwer Academic Publishers Dordrecht, the Netherlands 201
14. R.M. Gulrajani, and G.E. Mailloux A simulation study of the effects of torso inhomogeneities on electrocardiographic potentials, using realistic heart and torso models Circ. Res. 52 1983 45
15. Y. Rudy, and R. Plonsey A note on the "Brody effect" J. Electrocardiol. 11 1978 87
16. H.C. Burger, and J.B. Van Millan Measurement of the specific resistance of the human body to direct current Acta Med. Scand. 114 1943 584
17. Y. Rudy The effects of the thoracic volume conductor (inhomogeneities) on the electrocardiogram J. Liebman R. Plonsey Y. Rudy Pediatric and fundamental electrocardiography 1987 Martinus Nijhoff Publishing 49
18. Y. Rudy, R. Plonsey, and J. Liebman The effects of variations in conductivity and geometrical parameters on the electrocardiogram, using an eccentric spheres model Circ. Res. 44 1979 104
19. P.C. Voukydis Effect of the intracardiac blood on the electrocardiogram N. Engl. J. Med. 291 1974 612
20. J.E. Madias, R. Bazaz, and H. Agarwal Anasarca-mediated attenuation of the amplitude of ECG complexes: a description of a heretofore unrecognized phenomenon J. Am. Coll. Cardiol. 38 2001 756
21. J.E. Madias, H. Agarwal, and M. Win Effect of weight loss in congestive heart failure from idiopathic dilated cardiomyopathy on electrocardiographic QRS voltage Am. J. Cardiol. 89 2002 86
22. J.E. Madias, S. Attanti, and V. Narayan Relationship among electrocardiographic potential amplitude, weight, and resistance/reactance/ impedance in a patient with peripheral edema treated for congestive heart failure J. Electrocardiol. 36 2003 167
23. J.E. Madias, and V. Narayan Augmentation of the amplitude of electrocardiographic QRS complexes immediately after hemodialysis: a study of 26 hemodialysis sessions of a single patient, aided by measurements of resistance, reactance, and impedance J. Electrocardiol. 36 2003 263
24. B.M. Horacek Lead theory in comprehensive electrocardiology P.W. Macfarlene T.D. Lawrie 1989 Pergamon Press New York 291