In patients susceptible to vt and ventricular fibrillation vf, there can be slowing of electrical potentials through diseased myocardium, resulting in small, delayed electrical. Copd, chronic obstructive pulmonary disease, supraventricular arrhythmias, atrial late potential, signalaveraged electrocardiography. Medical policy signalaveraged electrocardiography saecg. Signalaveraged versus 12lead electrocardiography in. Pdf highresolution signalaveraged electrocardiography in. Signal averaged electrocardiography an overview sciencedirect. The signal averaged electrocardiography is a noninvasive method to evaluate the presence of the potentials generated by tissues activated later than their usual timing in the cardiac cycle. Signalaveraged ecg saecg is a highresolution, noninvasive electrocardiographic method enabling detection of late ventricular potentials.
Serial recordings of the signalaveraged ecg and the 24hour ambulatory ecg were obtained from 156 patients with acute myocardial infarction up to 5 days phase 1, 6 to 30 days phase 2, and 31. However, this predictive ability is modest, and this technique has not been used to stratify patients into clinically relevant categories of risk. P wave signalaveraged electrocardiography in patients. A signal averaged ecg saecg is a unique type of ecg initially developed to identify patients at risk for sudden cardiac death and complex ventricular arrhythmias. Pdf highresolution signalaveraged electrocardiography. These latepotentials are associated with delayed activation of the ventricles, and can aid in the identification of a population of patients at an increased risk for ventricular tachycardia. Upper saddle river, nj 1 lead placement and acquisition of the 12. To develop a risk score for rejection, using saecg variables. Signalaveraged electrocardiography saecg is a noninvasive technique used. Pdf on oct 18, 2017, ioana mozos and others published signalaveraged ecg. Signal averaged ecg has some ability to riskstratify patients at risk for ventricular arrhythmias. How a signal averaged electrocardiogram works the heart is, in the simplest terms, a pump made up of muscle tissue. Currently, the presence of late potentials on saecg is a minor task force criterion, however data corroborating its diagnostic value are limited.
Noise in the signal averaged ecg has three principal origins. Signal averaged ecg has some ability to risk stratify patients at risk for ventricular arrhythmias. Signal averaging is useful also in other ecg applications such as exercise testing see chap. Some rcts have used signal averaged ecg for selection of patients at high. The highresolution signal averaged electrocardiogram saecg, with its ability to distinguish late potentials, may provide significant advantages over the 12lead ecg. Signal averaged electrocardiography saecg is a technique involving computerized analysis of small segments of a standard ecg to detect abnormalities, termed ventricular late potentials vlps, that would be otherwise obscured by background skeletal muscle activity. High resolution signalaveraged electrocardiography in labview. The high resolution signalaveraged electrocardiogram saecg is particularly well suited to detect localized slowed conduction and has been viewed as an adjunct for the diagnosis of arvcd. Role of signal averaging of the surface qrs complex in.
911 1523 158 251 1187 1010 455 741 1541 1581 259 542 379 356 203 1598 94 1575 1617 817 967 1642 341 1402 1640 988 418 795 1000 1398 365 1100 732 334 926 920 1169 485 181 584 112 280