Journal Article

Attenuation of ECG voltage in cirrhotic patients

John E. Madias

in EP Europace

Published on behalf of European Heart Rhythm Association of the European Society of Cardiology (ESC)

Volume 9, issue 3, pages 175-181
Published in print March 2007 | ISSN: 1099-5129
Published online March 2007 | e-ISSN: 1532-2092 | DOI:
Attenuation of ECG voltage in cirrhotic patients

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Two patients with cirrhosis (CIR), ascites (ASC), and peripheral oedema (PEROD) are presented. They were followed for many years, had multiple hospital admissions and clinic evaluations, had repeated laboratory testing, and many ECGs recorded. As their condition worsened, they developed attenuation of the ECG voltage (ATTECGV), which was more pronounced during intervals of increased fluid overload. Attenuation of the ECG voltage was decreased at times of successful diuresis and amelioration of PEROD, while abdominal paracenteses for ASC did not have any influence on the ATTECGV, suggesting that ATTECGV in patients with CIR is due to the associated PEROD, and not to ASC.

Keywords: Cirrhosis; Ascites; Peripheral oedema; Electrocardiography; Electrophysiology; Attenuation of the ECG voltage; Body volume conductor; Electrical impedance

Journal Article.  3113 words.  Illustrated.

Subjects: Cardiovascular Medicine

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