Fontaine lead
Fontaine bipolar precordial leads (F-ECG) are used to increase the sensitivity of epsilon wave detection, characteristic of arrhythmogenic right ventricular dysplasia (ARVD/C)
Tag ARVD
Killer ECG Patterns: Part 1
The average Emergency Clinician is interrupted every 6 minutes. When busy, it can be tempting to quickly “sign off” an ECG. These are the patterns not to miss.
Right Ventricular Outflow Tract Tachycardia
A review of the ECG features of right ventricular outflow tract tachycardia (RVOT), a type of VT, with example ECGs.
Epsilon Wave
Epsilon wave is a small positive deflection buried in the end of the QRS complex on the ECG. Characteristic ARVD arrhythmogenic right ventricular dysplasia
Arrhythmogenic Right Ventricular Dysplasia (ARVD)
A review of the ECG features of arrhythmogenic right ventricular cardiomyopathy (ARVC) AKA: arrhythmogenic right ventricular dysplasia (ARVD)
Guy Fontaine
Guy Fontaine (1936 - 2018) defined arrhythmogenic right ventricular dysplasia; coin the term 'epsilon wave' for the late QRS 'wiggle' seen in 30% of patients; and describe bipolar lead placements to best visualise the characteristic waves (Fontaine leads; F-ECG)
palpitations & presyncope…
the case. A 54 year old female presents to ED with an ‘odd sensation’ in her chest. This has been occurring intermittently for 2 months but has now increased in frequency & severity. She reports 3 episodes earlier today associated…