Whipple's disease electrocardiogram

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Bhagyashree Deshmankar M.B.B.S.[2]; Sadaf Sharfaei M.D.[3]

Overview

ECG findings associated with Whipple’s disease are nonspecific.

The nonspecific ECG findings in Whipple’s disease include:^[1]^[2]^[3]^[4]^[5]
- ST segment depression
- Q waves changes
- T wave changes
ECG abnormality in myocardial fibrosis is:^[6]
- Peaked P wave in lead II
- QR pattern in lead V1
- Dominant R wave in lead V1-V2
- Atrial arrhythmias

↑ McAllister, H. A.; Fenoglio, J. J. (1975). “Cardiac involvement in Whipple’s disease”. Circulation. 52 (1): 152–156. doi:10.1161/01.CIR.52.1.152. ISSN 0009-7322.
↑ Dutly F, Altwegg M (2001). “Whipple’s disease and “Tropheryma whippelii““. Clin Microbiol Rev. 14 (3): 561–83. doi:10.1128/CMR.14.3.561-583.2001. PMC 88990. PMID 11432814.
↑ Fenollar F, Puéchal X, Raoult D (2007). “Whipple’s disease”. N Engl J Med. 356 (1): 55–66. doi:10.1056/NEJMra062477. PMID 17202456.
↑ Schneider T, Moos V, Loddenkemper C, Marth T, Fenollar F, Raoult D (2008). “Whipple’s disease: new aspects of pathogenesis and treatment”. Lancet Infect Dis. 8 (3): 179–90. doi:10.1016/S1473-3099(08)70042-2. PMID 18291339.
↑ Marth, Thomas; Moos, Verena; Müller, Christian; Biagi, Federico; Schneider, Thomas (2016). “Tropheryma whipplei infection and Whipple’s disease”. The Lancet Infectious Diseases. 16 (3): e13–e22. doi:10.1016/S1473-3099(15)00537-X. ISSN 1473-3099.
↑ Tharakan JA (2011). “Electrocardiogram in endomyocardial fibrosis”. Indian Pacing Electrophysiol J. 11 (5): 129–33. PMC 3184448. PMID 21994470.