Hidden Complexity in Routine Adult and Pediatric Arrhythmias Interpretation: The Future of Precision Electrocardiology

Fabio M Leonelli, Roberto De Ponti, Fabrizio Drago, Anwar Baban, Daniel Cortez, Massimo Griselli, Giuseppe Bagliani

Research output: Contribution to journalReview article

Abstract

Classic ECG interpretation is based on identification of waveforms and deductive analysis of the electrical events the waveforms represent. The more in depth the understanding of electrophysiologic cellular interactions, the more precise the interpretation of ECG tracing. Surface ECG has limitations; yet, it is accurate in representing myocytes' pathologic behaviors. Recent advances have improved understanding of arrhythmias by reconstructing their mechanisms of induction and maintenance and exploring cellular channel dysfunction. Translating this knowledge to ECG analysis will create the link that allows ECG interpretation to reach the level of precision electrocardiology. This article presents cases illustrating new techniques for electrophysiologists.

Original languageEnglish
Pages (from-to)391-404
Number of pages14
JournalCardiac Electrophysiology Clinics
Volume11
Issue number2
DOIs
Publication statusPublished - Jun 11 2019

Fingerprint

Cardiac Arrhythmias
Electrocardiography
Pediatrics
Muscle Cells
Maintenance

Cite this

Hidden Complexity in Routine Adult and Pediatric Arrhythmias Interpretation : The Future of Precision Electrocardiology. / Leonelli, Fabio M; De Ponti, Roberto; Drago, Fabrizio; Baban, Anwar; Cortez, Daniel; Griselli, Massimo; Bagliani, Giuseppe.

In: Cardiac Electrophysiology Clinics, Vol. 11, No. 2, 11.06.2019, p. 391-404.

Research output: Contribution to journalReview article

Leonelli, Fabio M ; De Ponti, Roberto ; Drago, Fabrizio ; Baban, Anwar ; Cortez, Daniel ; Griselli, Massimo ; Bagliani, Giuseppe. / Hidden Complexity in Routine Adult and Pediatric Arrhythmias Interpretation : The Future of Precision Electrocardiology. In: Cardiac Electrophysiology Clinics. 2019 ; Vol. 11, No. 2. pp. 391-404.
@article{c5f3c38dab514adda8f346d32d1eb210,
title = "Hidden Complexity in Routine Adult and Pediatric Arrhythmias Interpretation: The Future of Precision Electrocardiology",
abstract = "Classic ECG interpretation is based on identification of waveforms and deductive analysis of the electrical events the waveforms represent. The more in depth the understanding of electrophysiologic cellular interactions, the more precise the interpretation of ECG tracing. Surface ECG has limitations; yet, it is accurate in representing myocytes' pathologic behaviors. Recent advances have improved understanding of arrhythmias by reconstructing their mechanisms of induction and maintenance and exploring cellular channel dysfunction. Translating this knowledge to ECG analysis will create the link that allows ECG interpretation to reach the level of precision electrocardiology. This article presents cases illustrating new techniques for electrophysiologists.",
author = "Leonelli, {Fabio M} and {De Ponti}, Roberto and Fabrizio Drago and Anwar Baban and Daniel Cortez and Massimo Griselli and Giuseppe Bagliani",
note = "Copyright {\circledC} 2019 Elsevier Inc. All rights reserved.",
year = "2019",
month = "6",
day = "11",
doi = "10.1016/j.ccep.2019.03.001",
language = "English",
volume = "11",
pages = "391--404",
journal = "Cardiac Electrophysiology Clinics",
issn = "1877-9182",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Hidden Complexity in Routine Adult and Pediatric Arrhythmias Interpretation

T2 - The Future of Precision Electrocardiology

AU - Leonelli, Fabio M

AU - De Ponti, Roberto

AU - Drago, Fabrizio

AU - Baban, Anwar

AU - Cortez, Daniel

AU - Griselli, Massimo

AU - Bagliani, Giuseppe

N1 - Copyright © 2019 Elsevier Inc. All rights reserved.

PY - 2019/6/11

Y1 - 2019/6/11

N2 - Classic ECG interpretation is based on identification of waveforms and deductive analysis of the electrical events the waveforms represent. The more in depth the understanding of electrophysiologic cellular interactions, the more precise the interpretation of ECG tracing. Surface ECG has limitations; yet, it is accurate in representing myocytes' pathologic behaviors. Recent advances have improved understanding of arrhythmias by reconstructing their mechanisms of induction and maintenance and exploring cellular channel dysfunction. Translating this knowledge to ECG analysis will create the link that allows ECG interpretation to reach the level of precision electrocardiology. This article presents cases illustrating new techniques for electrophysiologists.

AB - Classic ECG interpretation is based on identification of waveforms and deductive analysis of the electrical events the waveforms represent. The more in depth the understanding of electrophysiologic cellular interactions, the more precise the interpretation of ECG tracing. Surface ECG has limitations; yet, it is accurate in representing myocytes' pathologic behaviors. Recent advances have improved understanding of arrhythmias by reconstructing their mechanisms of induction and maintenance and exploring cellular channel dysfunction. Translating this knowledge to ECG analysis will create the link that allows ECG interpretation to reach the level of precision electrocardiology. This article presents cases illustrating new techniques for electrophysiologists.

U2 - 10.1016/j.ccep.2019.03.001

DO - 10.1016/j.ccep.2019.03.001

M3 - Review article

C2 - 31084858

VL - 11

SP - 391

EP - 404

JO - Cardiac Electrophysiology Clinics

JF - Cardiac Electrophysiology Clinics

SN - 1877-9182

IS - 2

ER -