Li Guo-Liang, Saguner Ardan M, Fontaine Guy Hugues, Frank Robert
Rhythmology Unit, Cardiology Institute, Pitie Salpetriere University Hospital, Paris, France.
Arrhythmia Unit, Department of Cardiovascular Medicine, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Ann Noninvasive Electrocardiol. 2018 Nov;23(6):e12571. doi: 10.1111/anec.12571. Epub 2018 Jul 5.
The Epsilon wave was first identified in 1977. Four decades of progress help people to better understand its pathological electrogenesis and diagnostic value. Currently, the Epsilon wave is on the list of the 2010 Task Force recommendations for the diagnosis of arrhythmogenic right ventricular dysplasia (ARVD). In this review, we provide the history of the first recording of the Epsilon wave in coronary artery disease and Uhl's anomaly, subsequently leading to the signal averaging technique to record late potentials. Based on our experience, we discuss some existing controversies. When we look back at the decades of progress of the Epsilon wave, we conclude that the Epsilon wave is only the tip of the iceberg of ECG abnormalities in ARVD.
ε波于1977年首次被发现。四十年来的进展帮助人们更好地理解其病理电发生机制和诊断价值。目前，ε波已被列入2010年致心律失常性右心室发育不良（ARVD）诊断的工作组推荐名单。在本综述中，我们介绍了在冠状动脉疾病和乌尔畸形中首次记录ε波的历史，随后引出了用于记录晚电位的信号平均技术。基于我们的经验，我们讨论了一些现存的争议。当回顾ε波几十年的进展时，我们得出结论，ε波只是ARVD中心电图异常的冰山一角。
