Hepatocellular carcinoma electrocardiogram: Difference between revisions
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{{CMG}} {{AE}} {{SH}} | {{CMG}} {{AE}} {{SH}} | ||
==Overview== | ==Overview== | ||
==ECG findings in Hepatocellular Carcinoma== | ==ECG findings in Hepatocellular Carcinoma== | ||
Abnormalities of cardiac electrophysiology may be noted in hepatocellular carcinoma.Low voltage complexes in the precordial leads may also be noticed in patients due to fluid overload. An ECG may be helpful in the diagnosis of metastatic hepatocellular carcinoma into the right ventricle. | |||
;Low voltage in limb leads and diffuse T-wave inversion<ref>{{Cite journal|last=Liu|first=Yu-Chun|date=2006|title=Asymptomatic Metastasis of Hepatocellular Carcinoma into the Right Ventricular Cavity Presenting with electrocardiographic Changes|url=http://www.tsoc.org.tw/upload/journal/1/20060930/12.pdf|journal=Acta Cardiol Sin|volume=22|pages=180-183|via=}}</ref> | |||
Findings on an ECG suggestive of metastasis of hepatocellular carcinoma into the right ventricle include low voltage in limb leads and diffuse T-wave inversion | |||
Attenuation of ECG voltage <ref name="pmid17344308">{{cite journal |author=Madias JE |title=Attenuation of ECG voltage in cirrhotic patients |journal=[[Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology]] |volume=9 |issue=3 |pages=175–81 |year=2007 |pmid=17344308 |doi=10.1093/europace/eul182 |url=http://europace.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=17344308 |accessdate=2012-09-06}}</ref> | ;Attenuation of ECG voltage <ref name="pmid17344308">{{cite journal |author=Madias JE |title=Attenuation of ECG voltage in cirrhotic patients |journal=[[Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology]] |volume=9 |issue=3 |pages=175–81 |year=2007 |pmid=17344308 |doi=10.1093/europace/eul182 |url=http://europace.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=17344308 |accessdate=2012-09-06}}</ref> | ||
* Attenuation of ECG voltages is noticed mainly in patients who have [[ascites]] and peripheral [[edema]] | * Attenuation of ECG voltages is noticed mainly in patients who have [[ascites]] and peripheral [[edema]] | ||
* This finding may be corrected by placing leads [[Anatomical terms of location|cranially]]<ref>http://europace.oxfordjournals.org/content/10/1/96.abstract</ref> | * This finding may be corrected by placing leads [[Anatomical terms of location|cranially]]<ref>http://europace.oxfordjournals.org/content/10/1/96.abstract</ref> | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Dildar Hussain, MBBS [2]
Overview
ECG findings in Hepatocellular Carcinoma
Abnormalities of cardiac electrophysiology may be noted in hepatocellular carcinoma.Low voltage complexes in the precordial leads may also be noticed in patients due to fluid overload. An ECG may be helpful in the diagnosis of metastatic hepatocellular carcinoma into the right ventricle.
- Low voltage in limb leads and diffuse T-wave inversion[1]
Findings on an ECG suggestive of metastasis of hepatocellular carcinoma into the right ventricle include low voltage in limb leads and diffuse T-wave inversion
- Attenuation of ECG voltage [2]
- Attenuation of ECG voltages is noticed mainly in patients who have ascites and peripheral edema
- This finding may be corrected by placing leads cranially[3]
- Peripheral edema may be strongly correlated with this finding
- Diuretic use in case of peripheral edema leads to improvement in ECG findings
- paracentesis has no effect on ECG findings[2]
References
- ↑ Liu, Yu-Chun (2006). "Asymptomatic Metastasis of Hepatocellular Carcinoma into the Right Ventricular Cavity Presenting with electrocardiographic Changes" (PDF). Acta Cardiol Sin. 22: 180–183.
- ↑ 2.0 2.1 Madias JE (2007). "Attenuation of ECG voltage in cirrhotic patients". Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology. 9 (3): 175–81. doi:10.1093/europace/eul182. PMID 17344308. Retrieved 2012-09-06.
- ↑ http://europace.oxfordjournals.org/content/10/1/96.abstract