Abstract
Late potentials are low-amplitude, high-frequency signals which are continuous with the QRS complex and last a variable time into the ST segment. These signals are believed to originate in myocardial zones with slow and inhomogeneous activation patterns. In all probability, they are due to the delayed depolarization of relatively normal ventricular tissue within a diseased area [1,2]. Myocardial areas involved in the generation of late potentials may serve as the underlying anatomic substrate for malignant re-entrant ventricular arrhythmias. Hence, late potentials may be considered as hallmarks of life-threatening sustained ventricular tachycardias, and the accurate detection of these signals may be of vital interest to prevent the sudden death of some patients.
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References
El-Sherif N, Gomes J, Restivo M et al. Late potentials and arrhythmogenesis. PACE 1985; 5: 440–462.
Breithardt G et al. Standards for analysis of ventricular late potentials using high resolution or signal-averaged electrocardiography. Eur Heart J 1991; 12: 473–480.
Horan L, Flowers N. The relationship between the vectorcardiogram and the actual dipole moment. In: Nelson C, Geselowitz D, editors. The theoretical basis of electrocardiology. Oxford Medical Engineering Series, 1976.
Lander P, Deal R, Berbari E. The analysis of ventricular late potentials using orthogonal recordings. IEEE Trans Biomed Eng 1988; 35: 629–639.
Webster J. Reducing motion artifacts and interference in biomédical recording. IEEE Trans Biomed Eng 1984; 31: 823–826.
Sinnaeve A. Flectron: an easy solution to radiated EMC problems. IEE Colloquium on EMC and Medicine, London, April 1993, pp. 11/1–11/7.
International Electrotechnical Committee (IEC), Geneva, Switzerland: IEC 601-1, Medical electrical equipment. Part 1: General requirements for safety, 1988; IEC 930, Guidelines for administrative, medical and nursing staff concerned with the safe use of medical electrical equipment, 1988.
Simson MB. Use of signals in the terminal QRS complexes to identify patients with ventricular tachycardia after myocardial infarction. Circulation 1981; 64: 235–242.
Lander P, Berbari E. Principles and signal processing techniques of the high-resolution electrocardiogram. Prog Cardiovasc Dis 1992; 35: 169–188.
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© 1994 Springer Science+Business Media Dordrecht
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Sinnaeve, A., Tassignon, H. (1994). Signal averaged ECG. In: Aubert, A.E., Ector, H., Stroobandt, R. (eds) Cardiac Pacing and Electrophysiology. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0872-0_11
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DOI: https://doi.org/10.1007/978-94-011-0872-0_11
Publisher Name: Springer, Dordrecht
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