Open AccessEpsilon waves: Milestones in the discovery and progress
Author(s) -
Li Guo-Liang,
Saguner Ardan M.,
Fontaine Guy Hugues,
Frank Robert
Publication year - 2018
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.12571
Subject(s) - medicine , arrhythmogenic right ventricular dysplasia , coronary artery disease , value (mathematics) , cardiology , task force , task (project management) , dysplasia , cardiomyopathy , machine learning , heart failure , computer science , management , public administration , political science , economics
The Epsilon wave was first identified in 1977. Four decades of progress help people to better understand its pathological electrogenesis and diagnostic value. Currently, the Epsilon wave is on the list of the 2010 Task Force recommendations for the diagnosis of arrhythmogenic right ventricular dysplasia ( ARVD ). In this review, we provide the history of the first recording of the Epsilon wave in coronary artery disease and Uhl's anomaly, subsequently leading to the signal averaging technique to record late potentials. Based on our experience, we discuss some existing controversies. When we look back at the decades of progress of the Epsilon wave, we conclude that the Epsilon wave is only the tip of the iceberg of ECG abnormalities in ARVD .