Prominent Epsilon Waves in a Patient With Cardiac Sarcoidosis

Epsilon waves are the surface manifestation of myocardial regions with delayed activation and are considered the hallmark of arrhythmogenic right ventricular cardiomyopathy. However, other conditions can also result in epsilon waves and simulate arrhythmogenic right ventricular cardiomyopathy. In th...

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Main Authors: Kevin J. Mills, MD, Mauricio Sendra Ferrer, MD, Mario D. Gonzalez, MD
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:JACC: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919307090
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author Kevin J. Mills, MD
Mauricio Sendra Ferrer, MD
Mario D. Gonzalez, MD
author_facet Kevin J. Mills, MD
Mauricio Sendra Ferrer, MD
Mario D. Gonzalez, MD
author_sort Kevin J. Mills, MD
collection DOAJ
description Epsilon waves are the surface manifestation of myocardial regions with delayed activation and are considered the hallmark of arrhythmogenic right ventricular cardiomyopathy. However, other conditions can also result in epsilon waves and simulate arrhythmogenic right ventricular cardiomyopathy. In this case, a patient presents with recurrent ventricular tachycardia and large epsilon waves due to cardiac sarcoidosis. (Level of Difficulty: Intermediate.)
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spelling doaj.art-f4d8f2d4fca2463d97f1c92d8f679d512022-12-21T22:53:14ZengElsevierJACC: Case Reports2666-08492020-04-0124577582Prominent Epsilon Waves in a Patient With Cardiac SarcoidosisKevin J. Mills, MD0Mauricio Sendra Ferrer, MD1Mario D. Gonzalez, MD2Cardiovascular Disease Fellowship, Penn State College of Medicine at the Milton S. Hershey Medical Center, Hershey, PennsylvaniaDivision of Cardiovascular Medicine, MU Health, Columbia, MissouriElectrophysiology Program, Penn State University Heart and Vascular Institute, Penn State University College of Medicine at the Milton S. Hershey Medical Center, Hershey Pennsylvania; Address for correspondence: Dr. Mario D. Gonzalez, Penn State University Heart and Vascular Institute, Penn State University College of Medicine, 500 University Drive, Room H1511, Hershey, Pennsylvania 17033.Epsilon waves are the surface manifestation of myocardial regions with delayed activation and are considered the hallmark of arrhythmogenic right ventricular cardiomyopathy. However, other conditions can also result in epsilon waves and simulate arrhythmogenic right ventricular cardiomyopathy. In this case, a patient presents with recurrent ventricular tachycardia and large epsilon waves due to cardiac sarcoidosis. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084919307090arrhythmogenic right ventricular cardiomyopathycardiac sarcoidosisepsilon waves
spellingShingle Kevin J. Mills, MD
Mauricio Sendra Ferrer, MD
Mario D. Gonzalez, MD
Prominent Epsilon Waves in a Patient With Cardiac Sarcoidosis
JACC: Case Reports
arrhythmogenic right ventricular cardiomyopathy
cardiac sarcoidosis
epsilon waves
title Prominent Epsilon Waves in a Patient With Cardiac Sarcoidosis
title_full Prominent Epsilon Waves in a Patient With Cardiac Sarcoidosis
title_fullStr Prominent Epsilon Waves in a Patient With Cardiac Sarcoidosis
title_full_unstemmed Prominent Epsilon Waves in a Patient With Cardiac Sarcoidosis
title_short Prominent Epsilon Waves in a Patient With Cardiac Sarcoidosis
title_sort prominent epsilon waves in a patient with cardiac sarcoidosis
topic arrhythmogenic right ventricular cardiomyopathy
cardiac sarcoidosis
epsilon waves
url http://www.sciencedirect.com/science/article/pii/S2666084919307090
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