Epsilon wave

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The epsilon wave is found in about 50% of those with ARVD. This is described as a terminal notch in the QRS complex. It is due to slowed intraventricular conduction. The epsilon wave may be seen on a surface EKG; however, it is more commonly seen on signal averaged EKGs.

EKG lead demonstrating the epsilon wave
EKG lead demonstrating the epsilon wave

The epsilon wave

The epsilon wave (red triangle), seen in ARVD.

References