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Indeterminate ventricular axis

MedGen UID:
1786835
•Concept ID:
C5539691
•
Finding
HPO: HP:0033570

Definition

A kind of abnormal ventricular axis in the EKG whereby the QRS complex is isoelectric or equiphasic in all leads with no dominant QRS deflection. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIndeterminate ventricular axis

Recent clinical studies

Etiology

Prediction of biological age and all-cause mortality by 12-lead electrocardiogram in patients without structural heart disease.
Hirota N, Suzuki S, Arita T, Yagi N, Otsuka T, Yamashita T
BMC Geriatr 2021 Aug 11;21(1):460. doi: 10.1186/s12877-021-02391-8. PMID: 34380426Free PMC Article
Early impairment of myocardial deformation assessed by regional speckle-tracking echocardiography in the indeterminate form of Chagas disease without fibrosis detected by cardiac magnetic resonance.
Romano MMD, Moreira HT, Marin-Neto JA, Baccelli PE, Alenezi F, Klem I, Maciel BC, Kisslo J, Schmidt A, Velazquez EJ
PLoS Negl Trop Dis 2020 Nov;14(11):e0008795. Epub 2020 Nov 30 doi: 10.1371/journal.pntd.0008795. PMID: 33253242Free PMC Article
Left ventricular fibromuscular band is not a specific substrate for idiopathic left ventricular tachycardia.
Lin FC, Wen MS, Wang CC, Yeh SJ, Wu D
Circulation 1996 Feb 1;93(3):525-8. doi: 10.1161/01.cir.93.3.525. PMID: 8565171
Value of the 12-lead electrocardiogram at hospital admission in the diagnosis of pulmonary embolism.
Sreeram N, Cheriex EC, Smeets JL, Gorgels AP, Wellens HJ
Am J Cardiol 1994 Feb 1;73(4):298-303. doi: 10.1016/0002-9149(94)90237-2. PMID: 8296763
Radiofrequency ablation therapy in idiopathic left ventricular tachycardia with no obvious structural heart disease.
Wen MS, Yeh SJ, Wang CC, Lin FC, Chen IC, Wu D
Circulation 1994 Apr;89(4):1690-6. doi: 10.1161/01.cir.89.4.1690. PMID: 8149535

Diagnosis

Prediction of biological age and all-cause mortality by 12-lead electrocardiogram in patients without structural heart disease.
Hirota N, Suzuki S, Arita T, Yagi N, Otsuka T, Yamashita T
BMC Geriatr 2021 Aug 11;21(1):460. doi: 10.1186/s12877-021-02391-8. PMID: 34380426Free PMC Article
Comprehensive Cardiovascular Magnetic Resonance Diastolic Dysfunction Grading Shows Very Good Agreement Compared With Echocardiography.
Ramos JG, Fyrdahl A, Wieslander B, Thalén S, Reiter G, Reiter U, Jin N, Maret E, Eriksson M, Caidahl K, Sörensson P, Sigfridsson A, Ugander M
JACC Cardiovasc Imaging 2020 Dec;13(12):2530-2542. Epub 2020 Aug 19 doi: 10.1016/j.jcmg.2020.06.027. PMID: 32828779
Value of the 12-lead electrocardiogram at hospital admission in the diagnosis of pulmonary embolism.
Sreeram N, Cheriex EC, Smeets JL, Gorgels AP, Wellens HJ
Am J Cardiol 1994 Feb 1;73(4):298-303. doi: 10.1016/0002-9149(94)90237-2. PMID: 8296763
Radiofrequency ablation therapy in idiopathic left ventricular tachycardia with no obvious structural heart disease.
Wen MS, Yeh SJ, Wang CC, Lin FC, Chen IC, Wu D
Circulation 1994 Apr;89(4):1690-6. doi: 10.1161/01.cir.89.4.1690. PMID: 8149535
Diagnosis of ventricular conduction defects.
Talbot S
Angiology 1977 Jan;28(1):19-30. doi: 10.1177/000331977702800104. PMID: 869264

Therapy

Is anteroseptal myocardial infarction an appropriate term?
Bogaty P, Boyer L, Rousseau L, Arsenault M
Am J Med 2002 Jul;113(1):37-41. doi: 10.1016/s0002-9343(02)01050-1. PMID: 12106621
Left ventricular fibromuscular band is not a specific substrate for idiopathic left ventricular tachycardia.
Lin FC, Wen MS, Wang CC, Yeh SJ, Wu D
Circulation 1996 Feb 1;93(3):525-8. doi: 10.1161/01.cir.93.3.525. PMID: 8565171

Prognosis

Prediction of biological age and all-cause mortality by 12-lead electrocardiogram in patients without structural heart disease.
Hirota N, Suzuki S, Arita T, Yagi N, Otsuka T, Yamashita T
BMC Geriatr 2021 Aug 11;21(1):460. doi: 10.1186/s12877-021-02391-8. PMID: 34380426Free PMC Article
Comprehensive Cardiovascular Magnetic Resonance Diastolic Dysfunction Grading Shows Very Good Agreement Compared With Echocardiography.
Ramos JG, Fyrdahl A, Wieslander B, Thalén S, Reiter G, Reiter U, Jin N, Maret E, Eriksson M, Caidahl K, Sörensson P, Sigfridsson A, Ugander M
JACC Cardiovasc Imaging 2020 Dec;13(12):2530-2542. Epub 2020 Aug 19 doi: 10.1016/j.jcmg.2020.06.027. PMID: 32828779
Myocardial delayed enhancement by magnetic resonance imaging in patients with Chagas' disease: a marker of disease severity.
Rochitte CE, Oliveira PF, Andrade JM, Ianni BM, Parga JR, Avila LF, Kalil-Filho R, Mady C, Meneghetti JC, Lima JA, Ramires JA
J Am Coll Cardiol 2005 Oct 18;46(8):1553-8. Epub 2005 Sep 23 doi: 10.1016/j.jacc.2005.06.067. PMID: 16226184
Value of the 12-lead electrocardiogram at hospital admission in the diagnosis of pulmonary embolism.
Sreeram N, Cheriex EC, Smeets JL, Gorgels AP, Wellens HJ
Am J Cardiol 1994 Feb 1;73(4):298-303. doi: 10.1016/0002-9149(94)90237-2. PMID: 8296763
Radiofrequency ablation therapy in idiopathic left ventricular tachycardia with no obvious structural heart disease.
Wen MS, Yeh SJ, Wang CC, Lin FC, Chen IC, Wu D
Circulation 1994 Apr;89(4):1690-6. doi: 10.1161/01.cir.89.4.1690. PMID: 8149535

Clinical prediction guides

Prediction of biological age and all-cause mortality by 12-lead electrocardiogram in patients without structural heart disease.
Hirota N, Suzuki S, Arita T, Yagi N, Otsuka T, Yamashita T
BMC Geriatr 2021 Aug 11;21(1):460. doi: 10.1186/s12877-021-02391-8. PMID: 34380426Free PMC Article
Comprehensive Cardiovascular Magnetic Resonance Diastolic Dysfunction Grading Shows Very Good Agreement Compared With Echocardiography.
Ramos JG, Fyrdahl A, Wieslander B, Thalén S, Reiter G, Reiter U, Jin N, Maret E, Eriksson M, Caidahl K, Sörensson P, Sigfridsson A, Ugander M
JACC Cardiovasc Imaging 2020 Dec;13(12):2530-2542. Epub 2020 Aug 19 doi: 10.1016/j.jcmg.2020.06.027. PMID: 32828779
Role of electrocardiographic changes in discriminating acute or chronic right ventricular pressure overload.
Can MM, Özveren O, Biteker M, Şengül C, Uz Ö, Işılak Z, Kırılmaz A
Anadolu Kardiyol Derg 2013 Jun;13(4):344-9. Epub 2013 Mar 26 doi: 10.5152/akd.2013.101. PMID: 23531871
Ultrasonic tissue characterization for patients with Chagas' disease.
Pazin-Filho A, Schmidt A, de Almeida-Filho OC, Marin-Neto JA, Maciel BC
J Am Soc Echocardiogr 2004 Mar;17(3):262-8. doi: 10.1016/j.echo.2003.10.022. PMID: 14981425
Value of the 12-lead electrocardiogram at hospital admission in the diagnosis of pulmonary embolism.
Sreeram N, Cheriex EC, Smeets JL, Gorgels AP, Wellens HJ
Am J Cardiol 1994 Feb 1;73(4):298-303. doi: 10.1016/0002-9149(94)90237-2. PMID: 8296763

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