Korean Circ J.  1983 Dec;13(2):371-378. 10.4070/kcj.1983.13.2.371.

Clinical Application of Esophageal Electrocardiogram

• Chae JS
• Chun YT
• Lee YS
• Rho TH
• Kim CS
• Kim JH
• Kim SS
• Kim HJ

• KMID: 2093165
• DOI: http://doi.org/10.4070/kcj.1983.13.2.371

Abstract

The esophageal electrocardiogram is of increasing significance in the study and diagnosis of cardiac arrhythmia and of posterior myocardial disease. We used both bipolar and unipolar esophageal recording leads and standard electrocardiogram equipment, and compared the effectiveness of esophageal electrocardiogram with co nventional electrocardiogram. The effectiveness of esophageal electrocardiogram were as follows: 1) Differentiation of sinus, atrial, junctional, or ventricular rhythm. 2) Differentiation of origin of premature beats. 3) Differentiation of atrial flutter and fibrillation. 4) Detection of retrograde atrial conduction of extraventricular systole. 5) Detection of electrical alternance of QRS amplitude. 6) Diagnosis of posterior myocardial infarction. The results reported here indicate that the esophageal electrocardiogrm seems to be a valid method in the diagnosis of cardiac arrhythmias without invasiveness.

MeSH Terms

Arrhythmias, Cardiac
Atrial Flutter
Cardiac Complexes, Premature
Cardiomyopathies
Diagnosis
Electrocardiography*
Myocardial Infarction
Systole