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| http://dx.doi.org/10.3389/fneur.2018.00994 | DOI Listing |
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Automated differentiation of wide QRS complex tachycardia using QRS complex polarity.
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Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Background: Wide QRS complex tachycardia (WCT) differentiation into ventricular tachycardia (VT) and supraventricular wide complex tachycardia (SWCT) remains challenging despite numerous 12-lead electrocardiogram (ECG) criteria and algorithms. Automated solutions leveraging computerized ECG interpretation (CEI) measurements and engineered features offer practical ways to improve diagnostic accuracy. We propose automated algorithms based on (i) WCT QRS polarity direction (WCT Polarity Code [WCT-PC]) and (ii) QRS polarity shifts between WCT and baseline ECGs (QRS Polarity Shift [QRS-PS]).
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