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Invasive electrophysiological studies, in which wires are passed through a vein to stimulate and record electrical signals from the heart, can sometimes be used to assess the risk of a person with Brugada syndrome experiencing dangerous abnormal heart rhythms. [38] Risk stratification is also sometimes performed using a signal averaged ECG. [5]
Independently, the SA was a stronger risk indicator of cardiac mortality compared to the other cardiovascular and ECG risk factors analyzed. [11] The Women's Health Initiative study concluded that a wide SA was the strongest predictor for incident coronary heart failure risk and a dominant risk factor for all cause mortality compared to several ...
ECG signals can be recorded in other contexts with other devices. In a conventional 12-lead ECG, ten electrodes are placed on the patient's limbs and on the surface of the chest. The overall magnitude of the heart's electrical potential is then measured from twelve different angles ("leads") and is recorded over a period of time (usually ten ...
When this happens, the heart's atrioventricular node or bundle of His can take over as the pacemaker, starting the electrical signal that causes the heart to beat. [ 1 ] [ 5 ] Depending on where the rhythm originates in the AV node, the atria can contract before ventricular contraction due to retrograde conduction , during ventricular ...
While the patient is exercising, images of the heart in motion are generated. [34] Ischemia can be detected by visualizing abnormalities in the movement of the heart and the thickness of the heart wall during exercise. [34] Some people may be unable to exercise in order to achieve a sufficient heart rate for a useful test.
Torsades de pointes, torsade de pointes or torsades des pointes (TdP; also called torsades) (/ t ɔːr ˌ s ɑː d d ə ˈ p w æ̃ t /, [2] French: [tɔʁsad də pwɛ̃t̪], translated as "twisting of peaks") is a specific type of abnormal heart rhythm that can lead to sudden cardiac death.
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The Holter's most common use is for monitoring ECG heart activity (electrocardiography or ECG). Its extended recording period is sometimes useful for observing occasional cardiac arrhythmias which would be difficult to identify in a shorter period. For patients having more transient symptoms, a cardiac event monitor which can be worn for a ...