Amplitude of the electrocardiographic QRS complexes during and after severe pulmonary edema

Annals of Noninvasive Electrocardiology

Volumn 9, Issue 2, 2004, Pages 192-197

  Madias, John E ^a,b  

^a NEW YORK UNIVERSITY   (United States)

^b ELMHURST HOSPITAL CENTER   (United States)

Author keywords

Anasarca pulmonary edema; Congestive heart failure; ECG; ECG transfer impedance; Peripheral edema; QRS complexes

Indexed keywords

ADULT; AMPLITUDE MODULATION; ANAMNESIS; ANASARCA; ARTICLE; BLOOD PRESSURE MONITORING; CASE REPORT; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CONGESTIVE HEART FAILURE; ELECTROCARDIOGRAM; FEMALE; HEART LEFT VENTRICLE FILLING; HUMAN; HYPERTENSION; LABORATORY TEST; LUNG EDEMA; PERIPHERAL EDEMA; PRIORITY JOURNAL; PULSE OXIMETRY; QRS COMPLEX;

ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; HYPERTENSION; HYPERTROPHY, LEFT VENTRICULAR; MIDDLE AGED; PULMONARY EDEMA; SEVERITY OF ILLNESS INDEX; STROKE VOLUME; TOMOGRAPHY, X-RAY COMPUTED; VENTRICULAR DYSFUNCTION, LEFT;

EID: 2342612196     PISSN: 1082720X     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1542-474X.2004.92540.x     Document Type: Article

References (21)

1. Macfarlane PW, Vetch Lawrie TD. In: Comprehensive Electrocardiology New York, Pergamon Press, 1989, pp. 197, 291, 449.
2. Rudy Y. The electrocardiogram and its relationship to excitation of the heart. In Sperelakis N (ed.): Physiology and Pathophysiology of the Heart. 3rd Edition. Dordrecht, Kluwer Academic Publishers, 1995, p. 20.
3. Rudy Y, Plonsey R. The eccentric model as the basis for the study of the role of geometry and inhomogeneities in electrocardiography. IEEE Trans Biomed Eng 1979;26:392.
4. Rudy Y, Plonsey R. A comparison of volume conductor and source geometry effects on body surface and epicardial potentials. Circ Res 1980;46:283.
5. Rudy Y, Wood R, Plonsey R, et al. The effect of high lung conductivity on electrocardiographic potentials. Results from human subjects undergoing bronchopulmonary lavage. Circulation 1982;65:440.
6. Madias JE, Bazaz R, Agarwal H, et al. Anasarca-mediated attenuation of the amplitude of ECG complexes: A description of a heretofore unrecognized phenomenon. J Am Coll Cardiol 2001;38:756.
7. Madias JE, Agarwal H, Win M, et al. Effect of weight loss in congestive heart failure from idiopathic dilated cardiomyopathy on electrocardiographic QRS voltage. Am J Cardiol 2002;89:86.
8. Madias JE, Attanti S, Narayan V. Relationship among electrocardiographic potential amplitude, weight, and resistance/reactance/impedance in a patient with peripheral edema treated for congestive heart failure. J Electrocardiol 2003;36:167.
9. Ishikawa K, Berson AS, Pipberger HW. Electrocardiographic changes due to cardiac enlargement. Am Heart J 1971;81:635.
10. Brody DA. A theoretical analysis of intracavitary blood mass influence on the electrocardiogram. Circ Res 1956;4: 731.
11. Rudy Y, Plonsey R. Comments on the effects of variations in the size of the heart on the magnitude of ECG potentials. J Electrocardiol 1980;13:79.
12. Wagner GS. In: Marriott's Practical Electrocardiography, Ninth Edition. Baltimore, Williams & Wilkins, 1994, p. 58.
13. Manuswamy K, Alpert MA, Martin RH, et al. Sensitivity and specificity of commonly used electrocardiographic criteria for left atrial enlargement by M-mode echocardiography. Am J Cardiol 1984;53:829.
14. Vitolo E, Madoi S, Palvarini M, et al. Relationship between changes in R wave voltage and cardiac volumes: A vectorcardiographic study during hemodlalysis. J Electrocardiol 1987;20:138.
15. Fuenmayor AJ, Vasquez CJ, Fuenmayor AM, et al. Hemodialysis changes the QRS amplitude in the electrocardiogram. Int J Cardiol 1993;41:141.
16. Kinoshita O, Kimura G, Kamakura S, et al. Effects of hemodialysis on body surface maps in patients with chronic renal failure. Nephron 1993;64:580.
17. Ojanen S, Koobi T, Korhonen P, et al. QRS amplitude and volume changes during hemodialysis. Am J Nephrol 1999;19:423.
18. Madias JE, Narayan V. Augmentation of the amplitude of electrocardiographic QRS complexes immediately following hemodialysis: A study of 26 hemodialysis sessions of a single patient, aided by measurements of resistance/ reactance/impedance. J Electrocardiol 2003;36:263-271.
19. Topol EJ, Traill TA, Fortuin NJ. Hypertensive hypertrophic cardiomyopathy of the elderly. N Engl J Med 1985;312: 277.
20. Geddes LA, Baker LE. The specific resistance of biological material-a compendium of data for the biomedical engineer and physiologist. Med Biol Eng 1967;5:271.
21. Van De Water JM, Mount BE, Barela JR, et al. Monitoring the chest impedance. Chest 1973;64:597.