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

doi:10.1016/j.ccep.2019.03.001

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 journal › Review 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 language	English (US)
Pages (from-to)	391-404
Number of pages	14
Journal	Cardiac Electrophysiology Clinics
Volume	11
Issue number	2
DOIs	https://doi.org/10.1016/j.ccep.2019.03.001
State	Published - Jun 2019

Keywords

Arrhythmias
Channelopathies
ECG
Genetic testing
Precision electro cardiology

PubMed: MeSH publication types

Journal Article
Review

Access

10.1016/j.ccep.2019.03.001

Fingerprint Dive into the research topics of 'Hidden Complexity in Routine Adult and Pediatric Arrhythmias Interpretation: The Future of Precision Electrocardiology'. Together they form a unique fingerprint.

Cite this

Leonelli, F. M., De Ponti, R., Drago, F., Baban, A., Cortez, D., Griselli, M., & Bagliani, G. (2019). Hidden Complexity in Routine Adult and Pediatric Arrhythmias Interpretation: The Future of Precision Electrocardiology. Cardiac Electrophysiology Clinics, 11(2), 391-404. https://doi.org/10.1016/j.ccep.2019.03.001

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, 06.2019, p. 391-404.

Research output: Contribution to journal › Review article

@article{191283c4827944369eb6aa3cf9eaa860,

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{\textquoteright} 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.",

keywords = "Arrhythmias, Channelopathies, ECG, Genetic testing, Precision electro cardiology",

author = "Leonelli, {Fabio M.} and {De Ponti}, Roberto and Fabrizio Drago and Anwar Baban and Daniel Cortez and Massimo Griselli and Giuseppe Bagliani",

year = "2019",

month = jun,

doi = "10.1016/j.ccep.2019.03.001",

language = "English (US)",

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

PY - 2019/6

Y1 - 2019/6

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.

KW - Arrhythmias

KW - Channelopathies

KW - ECG

KW - Genetic testing

KW - Precision electro cardiology

UR - http://www.scopus.com/inward/record.url?scp=85065337657&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065337657&partnerID=8YFLogxK

U2 - 10.1016/j.ccep.2019.03.001

DO - 10.1016/j.ccep.2019.03.001

M3 - Review article

C2 - 31084858

AN - SCOPUS:85065337657

VL - 11

SP - 391

EP - 404

JO - Cardiac Electrophysiology Clinics

JF - Cardiac Electrophysiology Clinics

SN - 1877-9182

IS - 2

ER -