Determinants of the total cosine of the spatial angle between the QRS complex and the T wave (TCRT): implications for distinguishing primary from secondary T-wave abnormalities

Journal of Electrocardiology

Volumn 40, Issue 1, 2007, Pages 12-17

  Friedman, Howard S ^a  

^a NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Bundle branch block; Conduction; Electrocardiography; Hypertrophy

Indexed keywords

ADULT; AGED; ARTICLE; COHORT ANALYSIS; CORONARY ARTERY DISEASE; DIABETES MELLITUS; DOPPLER ECHOCARDIOGRAPHY; ECG ABNORMALITY; ELECTROCARDIOGRAM; FEMALE; HEART DEPOLARIZATION; HEART DISEASE; HEART LEFT BUNDLE BRANCH BLOCK; HEART LEFT VENTRICLE CONTRACTION; HEART LEFT VENTRICLE FUNCTION; HEART REPOLARIZATION; HEART VENTRICLE HYPERTROPHY; HEART VENTRICLE SEPTUM; HUMAN; HYPERLIPIDEMIA; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; PRIORITY JOURNAL; QRS COMPLEX; SINUS RHYTHM; T WAVE;

ARRHYTHMIA; DIAGNOSIS, COMPUTER-ASSISTED; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; MIDDLE AGED; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY;

EID: 33845637992     PISSN: 00220736     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jelectrocard.2006.05.008     Document Type: Article

References (21)

1. Craib W.H. A study of the electrical field surrounding active heart muscle. Heart 14 (1927) 71
2. Hoffman B.R., and Cranefield P.F. Electrophysiology of the heart (1960), McGraw-Hill Book Co. Inc, New York 26
3. Tranchesi J., Adelardi V., and de Oliveira J.M. Atrial repolarization-its importance in clinical electrocardiography. Circulation 22 (1960) 635
4. Grant R.P. Grant's clinical electrocardiography. The spatial vector approach (1970), McGraw-Hill Book Co, Inc, New York 59 (Revised by Beckwith JR)
5. Ibidem: 68-72.
6. Durrer D., van Dam R.T., Freud G.E., Janse M.J., Meijler F.L., and Arzbaecher R.C. Total excitation of the isolated human heart. Circulation 41 (1970) 899
7. Franz M.R., Bargheer K., Rafflenbeul W., Haverich A., and Lichtlen P.R. Monophasic action potential mapping in human subjects with normal electrocardiograms: direct evidence for the genesis of the T wave. Circulation 75 (1987) 379
8. Spach M.S., and Barr R.C. Ventricular intramural and epicardial potential distribution during ventricular activation and repolarization in the intact dog. Circ Res 37 (1975) 243
9. Wilson F.N., Macleod A.G., Barker P.S., and Johnston F.D. The determination and the significance of the areas of the ventricular deflections of the electrocardiogram. Am Heart J 10 (1934) 29
10. Batchvarov V., Kaski J.C., Parchure N., Dilaveris P., Brown S., Ghuran A., et al. Comparison between ventricular gradient and a new descriptor of the wavefront direction of ventricular activation and recovery. Clin Cardiol 25 (2002) 230
11. Grant R.P. The relationship of the unipolar chest leads to the electrical field of the heart. Circulation 1 (1950) 878
12. Abildskov J.A., and Wilkinson R.S. The relation of precordial and orthogonal leads. Circulation 27 (1963) 58
13. Chou T.-C., and Helm R.A. Clinical vectorcardiography (1967), Grun & Stratton, New York 48
14. Helm R.A., and Fowler N.O. A simplified method for determining the angle between two spatial vectors. Am Heart J 45 (1953) 835
15. Devereux R.B., Alonso D.R., Lutas E.M., et al. Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings. Am J Cardiol 57 (1986) 450
16. Prichett A.M., Jacobsen S.J., Mahoney D.W., Rodeheffer R.J., Bailey K.R., Redfield M.M., et al. Left atrial volume as an index of left atria size: a population based study. J Am Coll Cardiol 41 (2003) 1036
17. Ashman R., and Byer E. The normal human ventricular gradient. I. Factors which affect its direction and its relation to the mean QRS axis. Am Heart J 25 (1943) 16
18. Surawicz B. ST-T abnormalities. In: MacFarlane P.W., and Veitch Lawrie T.D. (Eds). Comprehensive electrocardiography: theory and practice in health and disease (1989), Pergamon Press, New York 512
19. Oikarinen L., Väänänen H., Dabek J., Kaartinem M., Hänninen H., Katila T., et al. Relation of the twelve-lead. Electrocardiographic T-wave morphology descriptors to the left ventricular mass. Am J Cardiol 90 (2002) 1032
20. Smetana P., Batchvarov V.N., Hnatkova K., Camm A.J., and Malik M. Ventricular gradient and nondipolar repolarization components increase at high heart rate. Am J Physiol Heart Circ Physiol 286 (2004) H131
21. Acar B., Yi G., Hnatkova K., and Malik M. Spatial, temporal and wavefront direction characteristics of 12-lead T-wave morphology. Med Biol Eng Comput 37 (1999) 574