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Description

The interval between the peak of the T wave to its end has been associated with the risk of arrhythmias.

 


Exam: 12-lead ECG

 

Measurement:

(1) vertical line through peak of the T wave

(2) vertical line through the terminus of the T wave

(3) the interval in milliseconds between the 2 vertical lines

 

Interpretation:

• An increase in the interval is associated with an increased risk of ventricular tachycardia, sudden cardiac death and all-cause mortality.

 

Condition

Cutoff for Prolongation

general population

113.6 ms

ischemic heart disease

109.6 ms

Brugada syndrome

95.8 ms

heart failure

106.3 ms

 

The interval can also be combined with other measures such as the QT interval as the T(p-e) to QT interval ratio.

 


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