Conduction Disorders: The Value of Surface ECG

Author(s): Rose M.F.L. da Silva*, Alessandra de Souza Maciel

Journal Name: Current Cardiology Reviews

Volume 17 , Issue 2 , 2021


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Graphical Abstract:


Abstract:

Purpose of Review: The purpose of the current mini-review is to describe the importance of surface ECG for the diagnosis of conduction disorder.

Methods: The MEDLINE/PubMed database was used, with the keywords "ECG" and "conduction disorders"; over the past 10 years. Other documents were included because of their relevance.

Main Findings: Data on the anatomy and function of the cardiac electrical system have been described. Conduction disorders including sinus node dysfunction, atrioventricular blocks, intraventricular conduction disorders are exposed as to their epidemiology, etiology, presentation, anatomical site of impaired conduction of the electrical stimulus. The importance of ECG in patients with a cardiac implantable electronic device was also discussed, in addition to future perspectives.

Conclusion: Surface ECG allows the diagnosis of atrioventricular and intraventricular conduction disorder and its anatomical block site most of the time, without the need for invasive tests such as electrophysiological study. Dysfunctions of cardiac implantable electronic devices can be diagnosed by ECG, as well as the prediction of response to cardiac resynchronization therapy.

Keywords: Cardiac conduction system diseases, electrocardiography, heart conduction system, bundle-branch block, sinus node dysfunction, cardiac resynchronization therapy.

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Article Details

VOLUME: 17
ISSUE: 2
Year: 2021
Published on: 10 May, 2020
Page: [173 - 181]
Pages: 9
DOI: 10.2174/1573403X16666200511090151
Price: $65

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