title: Two causes in one patient for extremely low voltage on the electrocardiogram.
abstract: An 80-year-old woman is described with two different causes (pericardial effusion and cardiac amyloidosis) for low QRS voltage on the electrocardiogram. Total 12-lead QRS voltage (from the peak of the R wave to the nadir of either the Q or the S wave, whichever is deeper) was only 34 mm (10 mm standard in all leads), the lowest we have encountered among 331 previously reported patients with 10 different cardiac conditions.
authors.affiliation: Baylor Heart and Vascular Institute and the Department of Internal Medicine, Division of Cardiology, Baylor University Medical Center at Dallas, Texas.
authors.forename: William C
authors.initials: WC
authors.lastname: Roberts
authors.affiliation: Baylor Heart and Vascular Institute and the Department of Internal Medicine, Division of Cardiology, Baylor University Medical Center at Dallas, Texas.
authors.forename: Melody Joy
authors.initials: MJ
authors.lastname: Sherwood
authors.affiliation: Baylor Heart and Vascular Institute and the Department of Internal Medicine, Division of Cardiology, Baylor University Medical Center at Dallas, Texas.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Grayburn