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  Česky / Czech version Vnitřní lékařství, 49, 2003, č. 9, s. 727 - 729
 
The Importance of Electrocardiography in Cardiomyopathies 
Gregor P. 

III. interní - kardiologická klinika, Kardiocentrum FN Královské Vinohrady a 3. lékařské fakulty UK, Praha, přednosta prof. MUDr. Petr Widimský, DrSc., FESC.
 


Summary:

       ECG plays a predominantly screening role in cardiomyopathies. It is particularly important in hypertrophic cardiomyopathies, where atrial abnormities may be present (25 %), positive voltage criteria in hypertrophy of the left ventricle (63 %), pathological Q or QS wave (24 %), missing septal q in V5 and V6 (49 %), missing increase in the R wave in V1 - V3 (29 %) and high R waves in V2 – V3 (15 %), changes in repolarization phase of the ST-T segment (87 %). The left Tawar arm blockade is particularly typical for dilatation cardiomyopathies. In arrhythmogenic cardiomyopathies of the right ventricle the epsilon ware can be found as well as negative T waves in the leads from the right precordium and ventricular arrhythmias in the shape of the left Tawar arm blockade.

        Key words: Hypertrophic cardiomyopathy - Voltage criterai in hypertrophy of the left ventricle - Dilatation cardiomyopathy - Arrhythmogenic cardiomyopathy of the right ventricle - Restrictive cardiomyopathy
       

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