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T Wave Abnormalities

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Frontiers of Cardiac Electrophysiology

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 19))

Abstract

The T wave represents the uncancelled potential differences of ventricular repolarization. It has been estimated that the area of the T wave represents only 1–8% of the total time-voltage product of the heart, because most of the electromotive forces generated during repolarization undergo cancellation [1,2]. Our knowledge of the normal sequence of ventricular repolarization and the anatomic sites of the uncancelled potential differences responsible for the T wave in the normal heart is still very incomplete.

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References

  1. Schaefer H, Haas HG: Electrocardiography. In: Handbook of Physiology. Circulation. Hamilton WF, Dow P, eds: Vol. 1, Sec. 2, Washington, D.C.: Am Physiol Soc 1962, pp 323–415.

    Google Scholar 

  2. Burgess MJ, Millar K, Abildskov JA: Cancellation of electrocardiographic effects during ventricular recovery. J Electrocardiol 2: 101–107, 1969.

    Article  PubMed  CAS  Google Scholar 

  3. Van Dam RT, Durrer D: Experimental study on the intramural distribution of the excitability cycle and on the form of the epicardial T-wave in the dog heart in situ. Am Heart J 61: 537–542, 1961.

    Article  Google Scholar 

  4. Wilson FN, Macleod AG, Barker PS: The T deflection of the electrocardiogram. Trans Assoc Am Physicians 46: 29–38, 1931.

    Google Scholar 

  5. Haas HG, Bloemer A, Ley M, Schaefer H: Experimentelle Untersuchungen am Hundeherzen zum Problem des Ventrikelgradienten. Cardiologica 37: 66–84, 1960.

    Article  Google Scholar 

  6. Reynolds EW, Jr, VanderArk CR: An experimental study of the origin of T-waves based on determinations of effective refractory period from epicardial and endocardial aspects of the ventricle. Circ Res 7: 943–949, 1959.

    Google Scholar 

  7. Van Dam R, Durrer D: The T-wave and ventricular repolarization. Am J Cardiol 14: 294–300, 1964.

    Article  Google Scholar 

  8. Pipberger H, Schwartz L, Massumi RA, Prinzmetal M: Studies on the nature of repolarization. Ann NY Acad Sci 65: 924–931, 1957.

    Article  PubMed  CAS  Google Scholar 

  9. Autenrieth G, Surawicz B, Kuo CS: Sequence of repolarization on the ventricular surface in the dog. Am Heart J 89: 463–469, 1975.

    Article  PubMed  CAS  Google Scholar 

  10. Burgess MJ, Green LS, Millar K, Wyatt R, Abildskov JA: The sequence of normal ventricular recovery. Am Heart J 84: 660–668, 1972.

    Article  PubMed  CAS  Google Scholar 

  11. Harumi K, Burgess MJ, Abildskov JA: A theoretic model of the T wave. Circulation 34: 657–668, 1966.

    PubMed  CAS  Google Scholar 

  12. Burgess MJ, Harumi K, Abildskov JA: Application of a theoretic T-wave model to experimentally induced T-wave abnormalities. Circulation 34: 669–678, 1966.

    PubMed  CAS  Google Scholar 

  13. Sarachek ND, Roberts J, Leonard JL: A new method to measure nonuniformity in the intact heart. J Electrocardiol 5: 341–348, 1972.

    Article  PubMed  CAS  Google Scholar 

  14. Yanowitz F, Preston JB, Abildskov JA: Functional distribution of right and left stellate innervation to the ventricles: production of neurogenic electrocardiographic changes by unilateral alteration of sympathetic tone. Circ Res 18: 416–428, 1966.

    PubMed  CAS  Google Scholar 

  15. Shabetai R, Surawicz B, Hammill WA: Monophasic action potential in man. Circulation 38: 341–352, 1968.

    PubMed  CAS  Google Scholar 

  16. Wilson FN, Johnston FD, Hill IGW: The form of the electrocardiogram in experimental myocardial infarction. Am Heart J 10: 1025–1041, 1935.

    Article  Google Scholar 

  17. Abildskov JA, Burgess MJ, Millar K, Wyatt R, Baule G: The primary T-wave, a new elec-trocardiographic waveform. Am Heart J 81: 242–249, 1971.

    Article  PubMed  CAS  Google Scholar 

  18. Surawicz B: The pathogenesis and clinical significance of primary T-wave abnormalities. In: Advances in Electrocardiography. Schlant P, Hurst JW, eds.: New York: Grune & Stratton, 1972, pp 377–421.

    Google Scholar 

  19. Surawicz B: Primary and secondary T-wave changes. Heart Bull, 15: 31–35, 1966.

    Google Scholar 

  20. Lepeschkin E, Surawicz B: The duration of the Q-U Interval and its components in elec-trocardiograms of normal persons. Am Heart J 46: 9–20, 1953.

    Article  PubMed  CAS  Google Scholar 

  21. Hoffman BF, Cranefield PF: Electrophysiology of the Heart. New York: McGraw-Hill, 1960.

    Google Scholar 

  22. Lepeschkin E: Modern Electrocardiography. Baltimore: Williams & Wilkins, 1951.

    Google Scholar 

  23. Mandel WJ, Burgess MJ, Neville J, Jr, Abildskov JA: Analysis of T-wave abnormalities associated with myocardial infarction using a theoretic model. Circulation 38: 178–188, 1968.

    PubMed  CAS  Google Scholar 

  24. Kuo CS, Butler DF, Chen CM, Surawicz B: Pathogenesis of post-ischemic T-wave abnormalities (Abstr). Am J Cardiol 33: 149, 1974.

    Article  Google Scholar 

  25. Burch GE, Meyers R, Abildskov JA: A new electrocardiographic pattern observed in cere-brovascular accidents. Circulation 9: 719–723, 1954.

    PubMed  CAS  Google Scholar 

  26. Surawicz B: Electrocardiographic pattern of cerebrovascular accident. JAMA 197: 913–914, 1966.

    Article  Google Scholar 

  27. Harrison MT, Gibb BH: Electrocardiographic changes associated with a cerebrovascular accident. Lancet 2: 429–430, 1964.

    Article  Google Scholar 

  28. Fentz V, Gormsen Y: Electrocardiographic patterns in patients with cerebrovascular accidents. Circulation 25: 22–28, 1962.

    PubMed  CAS  Google Scholar 

  29. Hersch C: Electrocardiographic changes in head injuries. Circulation 23: 853–860, 1961.

    PubMed  CAS  Google Scholar 

  30. Finkelstein O, Nigaglioni A: Electrocardiographic alterations after neurogenic procedures. Am Heart J 62: 772–784, 1961.

    Article  PubMed  CAS  Google Scholar 

  31. Crompton MR: Hypothalamic lesions following the rupture of cerebral (berry) aneurysms. Brain 86: 301–314, 1963.

    Article  PubMed  CAS  Google Scholar 

  32. Jenkins JS, Bucknell M, Carter AB, Westlake S: Hypothalamic-pituitary-adrenal function after subarachnoid hemorrhage. Br Med J 4: 707–709, 1969.

    Article  PubMed  CAS  Google Scholar 

  33. Gardberg M, Rosen TL: Monophasic curve analysis and the ventricular gradient in the electrogram of strips of turtle ventricle. Circ Res 7: 870–875, 1959.

    PubMed  CAS  Google Scholar 

  34. Hoff HE, Nahum LH: The factor determining the direction of the T wave: the effect of heat and cold upon the dextro- and levocardiogram. Am J Physiol 131: 700–709, 1941.

    Google Scholar 

  35. Joyoshima H, Prinzmetal M, Horiba M, Kobayashi T, Mizuno Y, Nakayama R, Yamada K: The nature of normal and abnormal electrocardiograms. Arch Intern Med 115: 4–16, 1965.

    Article  Google Scholar 

  36. Autenrieth GT, Surawicz B, Kuo CS, Arita M: Primary T-wave abnormalities caused by uniform and regional shortening of ventricular monophasic action potential in dog. Circulation 51: 668–676, 1975.

    PubMed  CAS  Google Scholar 

  37. Daoud FS, Surawicz B, Gettes LS: Effect of isoproterenol on the abnormal T wave. Am J Cardiol 30: 810–819, 1972.

    Article  PubMed  CAS  Google Scholar 

  38. Han J, Garcia de Jalon P, Mce GK: Adrenergic effect on ventricular vulnerability. Circ Res 14: 516–524, 1964.

    PubMed  CAS  Google Scholar 

  39. Biberman L, Sarma RN, Surawicz B: T-wave abnormalities during hyperventilation and isoproterenol infusion. Am Heart J 81: 166–174, 1971.

    Article  PubMed  CAS  Google Scholar 

  40. Kuo CS, Surawicz B: Ventricular monophasic action potential changes associated with neurogenic T wave abnormalities and isoproterenol administration in dogs. Am J Cardiol 38: 170–177, 1976.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Borys Surawicz
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Editors and Affiliations

  1. Serivce of Cardiology and Department of Electrocardiography, Ramos Mejia Hospital, Urquiza 609, 1221, Buenos Aires, Argentina

    Mauricio B. Rosenbaum  & Marcelo V. Elizari  & 

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© 1983 Martinus Nijhoff Publishers, The Hague

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Surawicz, B. (1983). T Wave Abnormalities. In: Rosenbaum, M.B., Elizari, M.V. (eds) Frontiers of Cardiac Electrophysiology. Developments in Cardiovascular Medicine, vol 19. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-6781-6_3

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  • DOI: https://doi.org/10.1007/978-94-009-6781-6_3

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-6783-0

  • Online ISBN: 978-94-009-6781-6

  • eBook Packages: Springer Book Archive

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