Open AccessThe Presence of Epsilon Waves in All Precordial Leads (V 1 –V 6 ) in a 13‐Year‐Old Boy with Arrhythmogenic Right Ventricular Dysplasia (ARVD)
Author(s) -
Saprungruang Ankavipar,
Tumkosit Monravee,
Kongphatthanayothin Apichai
Publication year - 2013
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12063
Subject(s) - medicine , arrhythmogenic right ventricular dysplasia , ventricle , precordial examination , cardiology , ventricular tachycardia , electrocardiography , dysplasia , tachycardia , qrs complex , t wave , heart failure , cardiomyopathy
Electrocardiographic feature is included in the diagnostic criteria for arrthythmogenic right ventricular dysplasia (ARVD) based on the Revised Task Force criteria 2010. The epsilon wave, which reflects delayed conduction of the right ventricle, is considered to be one of the major diagnostic criteria. We reported a 13‐year‐old Thai boy with ARVD who presented with ventricular tachycardia. The presence of epsilon wave in all precordial leads (V 1 –V 6 ) was observed in standard 12‐lead EKG. Extensive scarring of the right and left ventricle was seen on cardiac MRI. The extensive Epsilon wave found in this patient may reflect the extensive ventricular wall involvemen.