Abstract
T-wave abnormalities are gaining significance in the realm of electrocardiogram diagnostics. In particular, T-wave alternans are proving to be powerful predictive indicators of potentially fatal arrhythmias. T-wave morphology monitoring and analysis are the means by which alternans and other abnormalities are detected. We have presented a preliminary design of an analog T-wave monitor to provide a characteristic description of the beat-to-beat T-wave morphology in terms of its maximum leading edge and trailing edge slopes, and its area. Experimental results showed that data from the analog T-wave monitor compared well with those predicted theoretically. Current design of the T-wave monitor, once improved, can find use in the screening, diagnosis, and early detection of T-wave abnormalities in clinical settings.
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References
Adam D, Smith J, Akselrod S, Nyboerg S, Powell A, Cohen R. Fluctuations in T-wave morphology and susceptibility to ventricular fibrillation. J Electrocardiol. 1984;17:209–18.
Beckerman J, Yamazaki T, Myers J, Boyle C, Chun S, Wang P, Froelicher V. T-Wave abnormalities are a better predictor of cardiovascular mortality than ST depression on the resting electrocardiogram. Ann Noninvasive Electrocardiol. 2005;10:146–51.
Berne RM, Levy MN. Cardiovascular physiology. 8th ed. New York: Mosby; 2001.
Chan PS, Kereiakes DJ. Usefulness of microvolt T-wave alternans to predict outcomes in patients with ischemic cardiomyopathy beyond one year. Am J Cardiol. 2008;102:280–4.
Chow T, Kereiakes DJ, Bartone C, Booth T, Schloss EJ, Waller T, Chung ES, Menon S, Nallamothu BK, Chan PS. Prognostic utility of microvolt t-wave alternans in risk stratification of patients with ischemic cardiomyopathy. J Am Coll Cardiol. 2006;47:1820–7.
Coronary artery disease. MedlinePlus: U.S. National Library of Medicine - National Institutes of Health. 8 May 2009.
Conover MB. Understanding electrocardiography. 7th ed. Mosby: St. Louis; 1996.
Fisch G. Centennial of the string galvanometer and the electrocardiogram. J Am Coll Cardiol. 2000;36:1737–45.
Geddes LA. Cardiovascular devices and their applications. New York: Wiley; 1984.
Guyton AC, Hall JE. Textbook of medical physiology. 11th ed. Philadelphia: Elsevier Saunders; 2006.
Kowtha V, Restivo M, Li JK-J, El-Sherif N. Role of slow conduction in cardiac arrhythmias. In: Proceedings of 13th NE bioengineering conference, 1987. pp. 63–4.
Kowtha V, Li JK-J. Post repolarization refractoriness in the ventricular muscle. In: Proceedings of 15th NE bioengineering conference, 1989, pp. 7–8.
Lin KB, Shofer FS, McCusker C, Meshberg E, Hollander JE. Predictive value of t-wave abnormalities at the time of emergency department presentation in patients with potential acute coronary syndromes. Acad Emerg Med. 2008;15:537–43.
Meijler FL, Wellens HJJ. Willem Einthoven’s legacy. ACC Curr J Rev. 2000;9:17–21.
Pan RL-C, Li JK-J. Noninvasive parametric evaluation of stress effects on cardiovascular function. Cardiovasc Eng. 2007;7:74–80.
Restivo M. A computer simulation of reentrant ventricular activation in a functional physiological model of the canine heart. Ph.D. dissertation, Rutgers University, Piscataway, NJ; 1987.
Rosenbaum DS. Microvolt-level T-wave alternans as a marker of vulnerability to cardiac arrhythmias: principles and detection methods. In: Drzewiecki GM, Li JK-J, editors. Analysis and assessment of cardiovascular function. New York: Springer; 1998.
Tan KF, Chan KL, Choi K. Detection of the QRS complex, P wave, and T wave in electrocardiogram. IEEE Xplore. 2000 (6 May 2009).
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Smith, D.W., Nowacki, D. & Li, J.KJ. ECG T-Wave Monitor for Potential Early Detection and Diagnosis of Cardiac Arrhythmias. Cardiovasc Eng 10, 201–206 (2010). https://doi.org/10.1007/s10558-010-9106-z
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DOI: https://doi.org/10.1007/s10558-010-9106-z