AANEM Connect
Join this vibrant community of professionals eager to exchange ideas, share resources, and engage in meaningful discussions. Use this platform as a sounding board to seek advice for navigating challenging cases or career decisions, and receive expert guidance from generous peers who want to help you succeed.
fibrillation amplitudes: useful or deceiving?
I'd like to open an interesting debate and get some input from experts here! In full disclosure, a few of us are working on a monograph for AANEM that may speak to this point in some form.
There are differing opinions in the literature as to whether the amplitude of fibrillation potentials can be meaningfully used in inferring the (a) duration of a lesion and (b) viability of muscle fibers. Some references of interest:
- Jiang et al. (2000)
- Dumitru and King (1998)
- Kraft (1990)
- (poster #15 at 1997 AAPM&R annual meeting): Park DS, Joo MC, Lee SJ, Kim DH, Park YG. Amplitude of fibrillation potential and positive sharp wave following peripheral nerve injury. Arch Phys Med Rehabil. 1997;78:1035
In order to comment on posts and view posts in their entirety, please login with your AANEM member account information.
I enjoy participating in the AANEM Connect Forum for a number of reasons. There are very fundamental questions posed on a frequent basis that cause me to pause and ask myself, ‘Why didn’t I think of that?’ Also, I continue to learn new things when others contribute their thoughts and experiences. Connect is an excellent opportunity for members to interact and to address any topic, including those that may not be discussed at an annual meeting or journal article.
Daniel Dumitru, MD, PhD