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High frequency QRS

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HFQRS has been studied since the 1960s. The first studies correlate between incidence of notching and slurring in the QRS complexes to the existence and severity of coronary heart disease. In 1979, a novel signal processing technique, including spatial filtering, averaging and alignment was used to
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Abboud S., Smith JM., Shargorodsky B., Laniado S., Sadeh D., Cohen RJ. High frequency electrocardiography of three orthogonal leads in dogs during a coronary artery occlusion. Pacing Clin Electrophysiol 1989;12(4 Pt
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Mor-Avi V., Shargorodsky B., Abboud S., Laniado S., Akselrod S. Effects of coronary occlusion on high-frequency content of the epicardial electrogram and body surface electrocardiogram. Circulation 1987;76(1):237–43.
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Left: Frequency band of standard ECG components is typically 0.05-100 Hz. HFQRS represents changes in the 150-250 Hz band (marked in red circle). Right: Depicts the physiological basis of HFQRS
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also induces changes to the depolarization phase and confirmed the use of HFQRS-RMS as a quantitative diagnostic measure of supply myocardial ischemia and demand myocardial (stress-induced) ischemia.
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Langner PH., Geselowitz DB., Mansure FT., Lauer JA. High-frequency components in the electrocardiograms of normal subjects and of patients with coronary heart disease. Am Heart J 1961;62:746–55.
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Abboud S., Cohen RJ., Sadeh D. A spectral analysis of the high frequency QRS potentials during acute myocardial ischemia in dogs. International Journal of Cardiology, 26: 285-290, 1990.
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Uijen GJ., de Weerd JP., Vendrik AJ. Accuracy of QRS detection in relation to the analysis of high-frequency components in the electrocardiogram. Med Biol Eng Comput 1979;17(4):492–502.
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Beker A., Pinchas A., Erel J., Abboud S. Spectral Analysis of High Resolution QRS Complex During Exercise Induce Ischemia. Annals of Noninvasive Electrocardiology, 1(4): 386-392, 1996.
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Gerald, F; Philip, A; Kligfield, P; et al. (August 2013). "Exercise Standards for Testing and Training A Scientific Statement From the American Heart Association".
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show that HFQRS from patients in coronary care unit are less stable than in healthy subjects. Later, Goldberger et al. identified reduction in the RMS (
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Goldberger AL., Bhargava V., Froelicher V., Covell J. Effect of myocardial infarction on high-frequency QRS potentials. Circulation 1981;64(1):34–42.
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1146: 301: 17: 80: 207: 1253: 1196: 1105: 1072: 1044: 1002: 961: 938: 912: 880: 838: 819: 718: 704: 604: 558: 544: 460: 409: 402: 339: 294: 251: 242: 101:Research efforts during the 80-90s have shown that 46: 29: 219: 8: 835: 715: 555: 536:Arrhythmogenic right ventricular dysplasia 406: 248: 226: 212: 204: 35: 123: 121: 117: 270:Spontaneous coronary artery dissection 26: 41:ECG of a heart in normal sinus rhythm 7: 594:Nonbacterial thrombotic endocarditis 890:Accelerated idioventricular rhythm 25: 575:Subacute bacterial endocarditis 98:comparing to normal subjects. 1: 1092:Pulseless electrical activity 1021:Multifocal atrial tachycardia 895:Catecholaminergic polymorphic 1325: 1036:Wandering atrial pacemaker 583:non-infective endocarditis 524:Endocardial fibroelastosis 130:American Heart Association 1114:hexaxial reference system 1059:Jervell and Lange-Nielsen 589:Libman–Sacks endocarditis 34: 994:Ventricular fibrillation 265:Coronary artery aneurysm 1309:Cardiovascular diseases 1271:Diastolic heart failure 1245:Athletic heart syndrome 1206:Ventricular hypertrophy 940:Pre-excitation syndrome 794:Left posterior fascicle 319:Acute coronary syndrome 259:Coronary artery disease 789:Left anterior fascicle 569:infective endocarditis 354:Hibernating myocardium 235:Cardiovascular disease 86: 953:Wolff–Parkinson–White 913:Premature contraction 811:Adams–Stokes syndrome 514:Loeffler endocarditis 324:Myocardial infarction 96:Myocardial Infarction 84: 1120:Right axis deviation 1082:Sudden cardiac death 440:Pericardial effusion 383:Ventricular aneurysm 1125:Left axis deviation 982:Atrial fibrillation 977:Ventricular flutter 900:Torsades de pointes 774:Bundle branch block 733:Sick sinus syndrome 519:Cardiac amyloidosis 504:Tachycardia-induced 359:Myocardial stunning 307:Prinzmetal's angina 276:Coronary thrombosis 103:myocardial ischemia 1228:Atrial enlargement 1026:Pacemaker syndrome 948:Lown–Ganong–Levine 870:Junctional ectopic 865:AV nodal reentrant 371:Myocardial rupture 281:Coronary vasospasm 87: 59:High frequency QRS 30:High Frequency QRS 1296: 1295: 1288:Obstructive shock 1192: 1191: 1139:Short QT syndrome 1106:Other / ungrouped 1097:Sinoatrial arrest 1012:Ectopic pacemaker 908: 907: 728:Sinus bradycardia 700: 699: 696: 695: 445:Cardiac tamponade 398: 397: 388:Dressler syndrome 286:Myocardial bridge 71:electrocardiogram 56: 55: 51:Electrocardiogram 16:(Redirected from 1316: 1261:Cardiac fibrosis 1153:T wave alternans 1046:Long QT syndrome 840:Supraventricular 836: 769:Intraventricular 716: 556: 407: 252:Coronary disease 249: 228: 221: 214: 205: 198: 195: 189: 186: 180: 176: 170: 167: 161: 158: 152: 149: 143: 140: 134: 133: 125: 92:Root Mean Square 39: 27: 21: 1324: 1323: 1319: 1318: 1317: 1315: 1314: 1313: 1299: 1298: 1297: 1292: 1283:Rheumatic fever 1249: 1188: 1101: 1068: 1040: 998: 957: 934: 904: 876: 823: 815: 709: 692: 600: 549: 540: 456: 450:Hemopericardium 394: 335: 329:Unstable angina 302:Angina pectoris 295:Active ischemia 290: 238: 232: 202: 201: 196: 192: 187: 183: 177: 173: 168: 164: 159: 155: 150: 146: 141: 137: 132:(128): 873–934. 127: 126: 119: 114: 108: 79: 42: 23: 22: 15: 12: 11: 5: 1322: 1320: 1312: 1311: 1301: 1300: 1294: 1293: 1291: 1290: 1285: 1280: 1279: 1278: 1276:Cardiac asthma 1273: 1263: 1257: 1255: 1251: 1250: 1248: 1247: 1242: 1241: 1240: 1235: 1225: 1224: 1223: 1218: 1213: 1202: 1200: 1194: 1193: 1190: 1189: 1187: 1186: 1184:Strain pattern 1181: 1180: 1179: 1174: 1169: 1157: 1156: 1155: 1143: 1142: 1141: 1129: 1128: 1127: 1122: 1109: 1107: 1103: 1102: 1100: 1099: 1094: 1089: 1084: 1078: 1076: 1074:Cardiac arrest 1070: 1069: 1067: 1066: 1061: 1056: 1054:Andersen–Tawil 1050: 1048: 1042: 1041: 1039: 1038: 1033: 1028: 1023: 1018: 1008: 1006: 1000: 999: 997: 996: 991: 990: 989: 979: 974: 972:Atrial flutter 968: 966: 959: 958: 956: 955: 950: 944: 942: 936: 935: 933: 932: 927: 922: 916: 914: 910: 909: 906: 905: 903: 902: 897: 892: 886: 884: 878: 877: 875: 874: 873: 872: 867: 857: 856: 855: 844: 842: 833: 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1268: 1267: 1266:Heart failure 1264: 1262: 1259: 1258: 1256: 1252: 1246: 1243: 1239: 1236: 1234: 1231: 1230: 1229: 1226: 1222: 1219: 1217: 1214: 1212: 1209: 1208: 1207: 1204: 1203: 1201: 1199: 1195: 1185: 1182: 1178: 1177:ST depression 1175: 1173: 1170: 1168: 1165: 1164: 1163: 1162: 1158: 1154: 1151: 1150: 1149: 1148: 1144: 1140: 1137: 1136: 1135: 1134: 1130: 1126: 1123: 1121: 1118: 1117: 1116: 1115: 1111: 1110: 1108: 1104: 1098: 1095: 1093: 1090: 1088: 1085: 1083: 1080: 1079: 1077: 1075: 1071: 1065: 1062: 1060: 1057: 1055: 1052: 1051: 1049: 1047: 1043: 1037: 1034: 1032: 1029: 1027: 1024: 1022: 1019: 1017: 1013: 1010: 1009: 1007: 1005: 1001: 995: 992: 988: 985: 984: 983: 980: 978: 975: 973: 970: 969: 967: 965: 960: 954: 951: 949: 946: 945: 943: 941: 937: 931: 928: 926: 923: 921: 918: 917: 915: 911: 901: 898: 896: 893: 891: 888: 887: 885: 883: 879: 871: 868: 866: 863: 862: 861: 858: 854: 851: 850: 849: 846: 845: 843: 841: 837: 834: 831: 827: 822: 818: 812: 809: 805: 804:Trifascicular 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312:Stable angina 310: 308: 305: 304: 303: 300: 299: 297: 293: 287: 284: 282: 279: 277: 274: 271: 268: 266: 263: 260: 257: 256: 254: 250: 247: 245: 241: 236: 229: 224: 222: 217: 215: 210: 209: 206: 194: 191: 185: 182: 175: 172: 166: 163: 157: 154: 148: 145: 139: 136: 131: 124: 122: 118: 111: 109: 106: 104: 99: 97: 93: 83: 76: 74: 72: 68: 64: 60: 52: 49: 45: 38: 33: 28: 19: 1198:Cardiomegaly 1172:ST elevation 1159: 1145: 1131: 1112: 1016:Ectopic beat 964:fibrillation 799:Bifascicular 673: 654: 635: 611: 581: 567: 560:Endocarditis 499:Hypertrophic 433:Constrictive 419:Pericarditis 377: 365: 348: 193: 184: 174: 165: 156: 147: 138: 129: 107: 100: 88: 62: 58: 57: 47:Test of 1064:Romano–Ward 1031:Parasystole 930:Ventricular 882:Ventricular 821:Tachycardia 738:Heart block 720:Bradycardia 546:Endocardium 509:Restrictive 470:Myocarditis 411:Pericardium 67:QRS complex 962:Flutter / 925:Junctional 860:Junctional 853:Multifocal 826:paroxysmal 742:Sinoatrial 711:arrhythmia 706:Conduction 462:Myocardium 179:1):574–81. 112:References 1221:Pulmonary 1004:Pacemaker 675:pulmonary 656:tricuspid 492:Alcoholic 1303:Category 1087:Asystole 987:Familial 681:stenosis 662:stenosis 643:stenosis 624:stenosis 619:prolapse 341:Sequelae 244:Ischemia 487:Dilated 429:Chronic 237:(heart) 77:History 1167:J wave 920:Atrial 848:Atrial 637:aortic 613:mitral 605:Valves 551:valves 403:Layers 272:(SCAD) 69:in an 1254:Other 1238:Right 1216:Right 830:sinus 779:Right 529:Viral 424:Acute 378:weeks 349:hours 261:(CAD) 63:HFQRS 18:HFQRS 1233:Left 1211:Left 828:and 784:Left 366:days 1305:: 1161:ST 1133:QT 1014:/ 762:3° 757:2° 752:1° 747:AV 740:: 431:/ 120:^ 1147:T 832:) 824:( 708:/ 548:/ 227:e 220:t 213:v 61:( 20:)

Index

HFQRS

Electrocardiogram
QRS complex
electrocardiogram

Root Mean Square
Myocardial Infarction
myocardial ischemia


v
t
e
Cardiovascular disease
Ischemia
Coronary artery disease
Coronary artery aneurysm
Spontaneous coronary artery dissection
Coronary thrombosis
Coronary vasospasm
Myocardial bridge
Angina pectoris
Prinzmetal's angina
Stable angina
Acute coronary syndrome
Myocardial infarction
Unstable angina
Sequelae
Hibernating myocardium

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