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.