Electrical alternans

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: QRS alternans, alternans

Overview

Electrical alternans is an electrocardiographic phenomenon of alternation of QRS complex amplitude or axis between beats.

Pathophysiology

It is seen in cardiac tamponade and is thought to be related to changes in the ventricular electrical axis due to fluid in the pericardium.

Causes

Electrocardiographic Examples

An ECG showing electrical alternans in a person with pericardial effusion. Note the beat to beat change in the height and axis of the QRS complexes.


An ECG showing electrical alternans in a person with pericardial effusion. Note the beat to beat change in the height and axis of the QRS complexes.


An example of electrical alternans. Note the beat to beat change in the height and axis of the QRS complexes.


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