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Journal of Cardiovascular Electrophysiology
Article . 2018 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
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Research.fi
Article . 2020
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Conundrum of the Tpeak‐Tend interval

Authors: Malik, M; Huikuri, H; Lombardi, F; Schmidt, G; Zabel, M; E-Rhythm Study Group of EHRA;

Conundrum of the Tpeak‐Tend interval

Abstract

Over the past years, many publications appeared dealing with the clinical utility of the electrocardiographic interval between the peak and the end of the T wave (the Tpe interval). A recently published meta-analysis concluded [1] that the Tpe interval is “a useful risk stratification tool in different diseases and in the general population”. This conclusion broadly agrees with the article by Yu et al in this issue of the Journal [2] who report that prolonged Tpe interval predicts arrhythmic events in the acute phase of ST elevation myocardial infarction. Hence, if quickly scanning through all this, conclusion can easily be made that the usefulness of Tpe interval for the prediction of arrhythmic risk has now been proven beyond reasonable doubt. However, when considering the topic of the usefulness of Tpe interval with proper research care, serious doubts remain. In this text, we therefore comment not only on the report by Yu et al but also on serious shortcomings in the recent meta-analysis by Tse et al [1] and discuss the frequent misunderstanding of the electrophysiologic basis of the Tpe interval. Since some of the enthusiasm for this ECG measurement might have been exaggerated, we intentionally present a critical view of the topic.

Countries
Germany, United Kingdom
Keywords

Science & Technology, Cardiac & Cardiovascular Systems, PREDICTION, MORTALITY, DEATH, HEART-RATE, 610, T-END INTERVAL, 1102 Cardiovascular Medicine And Haematology, QT DISPERSION, Electrocardiography, Cardiovascular System & Hematology, Heart Conduction System, 616, Cardiovascular System & Cardiology, HETEROGENEITY, e-Rhythm Study Group of EHRA, VENTRICULAR REPOLARIZATION, Life Sciences & Biomedicine, POPULATION, PEAK

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    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
20
Top 10%
Top 10%
Top 10%
Green