Late potentials are thought to be caused by early afterdepolarizations of cells in the right ventricle (in ARVD). Their amplitude is often too small to show up on a normal ECG. However, when multiple QRS recordings (typically 250 consecutive QRS complexes) are averaged, random noise is filtered out and late potentials can show up. Such a recording is called a Signal Averaged ECG (SAECG).
|Criteria for late potentials on a signal averaged ECG |
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- Breithardt G, Cain ME, el-Sherif N, Flowers NC, Hombach V, Janse M, Simson MB, and Steinbeck G. Standards for analysis of ventricular late potentials using high-resolution or signal-averaged electrocardiography: a statement by a task force committee of the European Society of Cardiology, the American Heart Association, and the American College of Cardiology. J Am Coll Cardiol. 1991 Apr;17(5):999-1006. DOI:10.1016/0735-1097(91)90822-q |