A Practical Approach to the Investigation of an rSr' Pattern in Leads V1-V2.
Identifieur interne : 000850 ( Main/Exploration ); précédent : 000849; suivant : 000851A Practical Approach to the Investigation of an rSr' Pattern in Leads V1-V2.
Auteurs : Sahil Koppikar [Canada] ; Raimundo Barbosa-Barros [Brésil] ; Adrian Baranchuk [Canada]Source :
- The Canadian journal of cardiology [ 1916-7075 ] ; 2015.
English descriptors
- KwdEn :
- Aged, Algorithms, Arrhythmogenic Right Ventricular Dysplasia (diagnosis), Atrial Fibrillation (diagnosis), Brugada Syndrome (diagnosis), Brugada Syndrome (genetics), Death, Sudden, Cardiac (etiology), Diagnosis, Differential, Echocardiography, Electrocardiography (methods), Funnel Chest (diagnosis), Humans, Male, Middle Aged, Referral and Consultation, Tomography, X-Ray Computed, Wolff-Parkinson-White Syndrome (diagnosis).
- MESH :
- diagnosis : Arrhythmogenic Right Ventricular Dysplasia, Atrial Fibrillation, Brugada Syndrome, Funnel Chest, Wolff-Parkinson-White Syndrome.
- etiology : Death, Sudden, Cardiac.
- genetics : Brugada Syndrome.
- methods : Electrocardiography.
- Aged, Algorithms, Diagnosis, Differential, Echocardiography, Humans, Male, Middle Aged, Referral and Consultation, Tomography, X-Ray Computed.
Abstract
The differential diagnosis of an rSr' pattern in leads V1-V2 on electrocardiogram is a frequently encountered entity in clinical cardiology. This finding often presents itself in asymptomatic and healthy individuals. The causes might vary from benign and nonpathological, to severe and life-threatening diseases, such as Brugada syndrome or arrhythmogenic right ventricular dysplasia. Workup of these patients involves a history and physical examination to screen for underlying cardiac disease and potential triggers. Routine investigation involves blood work and a thorough electrocardiographic examination. Echocardiography has a role in evaluating patients in whom structural heart disease is suspected. Pulmonary testing using computed tomography can be conducted if right ventricular enlargement is identified. More advanced testing is not warranted if these initial investigations are reassuring. Referral to an arrhythmia specialist should be considered for patients in whom this finding is due to Brugada syndrome, arrhythmogenic right ventricular dysplasia, or Wolf-Parkinson-White syndrome. We propose a clinical and electrocardiographic algorithm that will assist clinicians in narrowing their differential diagnosis.
DOI: 10.1016/j.cjca.2015.04.008
PubMed: 26143139
Affiliations:
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This finding often presents itself in asymptomatic and healthy individuals. The causes might vary from benign and nonpathological, to severe and life-threatening diseases, such as Brugada syndrome or arrhythmogenic right ventricular dysplasia. Workup of these patients involves a history and physical examination to screen for underlying cardiac disease and potential triggers. Routine investigation involves blood work and a thorough electrocardiographic examination. Echocardiography has a role in evaluating patients in whom structural heart disease is suspected. Pulmonary testing using computed tomography can be conducted if right ventricular enlargement is identified. More advanced testing is not warranted if these initial investigations are reassuring. Referral to an arrhythmia specialist should be considered for patients in whom this finding is due to Brugada syndrome, arrhythmogenic right ventricular dysplasia, or Wolf-Parkinson-White syndrome. We propose a clinical and electrocardiographic algorithm that will assist clinicians in narrowing their differential diagnosis.</div></front></TEI><affiliations><list><country><li>Brésil</li><li>Canada</li></country></list><tree><country name="Canada"><noRegion><name sortKey="Koppikar, Sahil" sort="Koppikar, Sahil" uniqKey="Koppikar S" first="Sahil" last="Koppikar">Sahil Koppikar</name></noRegion><name sortKey="Baranchuk, Adrian" sort="Baranchuk, Adrian" uniqKey="Baranchuk A" first="Adrian" last="Baranchuk">Adrian Baranchuk</name></country><country name="Brésil"><noRegion><name sortKey="Barbosa Barros, Raimundo" sort="Barbosa Barros, Raimundo" uniqKey="Barbosa Barros R" first="Raimundo" last="Barbosa-Barros">Raimundo Barbosa-Barros</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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