دورية أكاديمية
Poster Session 2: Primary prevention
| العنوان: | Poster Session 2: Primary prevention |
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| المؤلفون: | Lokaj, P., Krivan, L., Kozak, M., Sepsi, M., Trcka, P., Vlasinova, J., Spinar, J., Ferraro, A., Rordorf, R., Belvito, C., Vicentini, A., Savastano, S., Petracci, B., Sanzo, A., Landolina, M., Greenberg, S., Goldman, D., Deering, T., Epstein, A., Burke, J., Dalal, Y., Hurley, J., Robinson, B., Melton, C., Patel, M., Saporito, J., Charlton, S., Sims, J.J., Van Casteren, L., Heidbuchel, H., Rossenbacker, T., Gopal, R., Vanhaecke, J., Van Cleemput, J., Droogne, W., Willems, R., Rocha Costa, S., Silva, J., Almeida, S., Reis Santos, K., Cavaco, D., Morgado, F., Adragao, P., Silva, A., Kanoupakis, E.M., Mavrakis, H.E., Kallergis, E.M., Koutalas, E.P., Saloustros, I.G., Milathianaki, M., Manios, E.G., Vardas, P.E., Richey, M., Malkin, R.A., Masson, S.C., Ransbury, T., Urtz, M., Ideker, R.E., Sanders, W.E., Brembilla-Perrot, B., Azman, B., Terrier De La Chaise, A., Blangy, H., Sadoul, N., Claudon, O., Louis, P., Selton, O., Braunschweig, F., Ekman, M., Maschio, M., Linde, C., Cowie, M.R., Pignalberi, C., Lavalle, C., Morichelli, L., Porfili, A., Quarta, L., Sassi, A., Ricci, R.P., Santini, M., Deering, T.F., Goldman, D.S., Gupta, M., ACT Registry Investigators, Gall, S.A., Kelland, N.F., Tynan, M., Lord, S.W., Plummer, C.J., Mccomb, J.M., Treguer, F., Mabo, P., Tassin, A., Prunier, F., Furber, A., Daubert, J.C., Leclercq, C., Dupuis, J.M., Bertini, M., Ng, A.C.T., Borleffs, C.J.W., Delgado, V., Boriani, G., Leung, D.Y., Schalij, M.J., Bax, J.J., Cabrera Bueno, F., Alzueta, J., Pena-Hernandez, J., Molina-Mora, M.J., Fernandez-Pastor, J., Barrera, A., De Teresa, E., Stockburger, M., Krebs, A., Rauchhaus, M., Celebi, O., Nitardy, A., Habedank, D., Knaus, T., Dietz, R., Varma, N., Irimpen, A., Gibson, L., Love, C., Hindricks, G., Elsner, C., Geller, J., Kautzner, J., Moertel, H.B., Piorkowski, C., Schumacher, B., Taborsky, M., Vest, R., Blanco, R., Valadri, R., Shukrullah, I., London, B., Dudley, S., Zafari, M., Bloom, H., Caliskan, K., Theuns, D.F., Hoedemakers, Y.M., Ten Cate, F.J., Jordaens, L., Szili Torok, T., Biscione, F., Di Grazia, A., Pandolfo, L., Porzio, A., Deneke, T., Lemke, B., Horlitz, M., Reinecke, J., Lawo, T., Muegge, A., Grewe, P., Van Rees, J.B., Van Welsenes, G.H., Van Bommel, R.J., Van Der Velde, E.T., Van Erven, L., Bhavnani, S., Coleman, C., Guertin, D., White, C.M., Yarlagadda, R., Clyne, C., Kluger, J., The Hartford Hospital ICD Registry Investigators |
| بيانات النشر: | Oxford University Press |
| سنة النشر: | 2009 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | Monday 22 June |
| الوصف: | Background: Microvolt T wave alternans (MTWA) is one of nonivasive methods of risk stratification of sudden cardiac death with a high negative prognostic value.We introduced MTWA to standard stratification in patiens with left ventricle dysfuntion and compared with known risk markers: left ventricular ejection fraction (LVEF),QRS width, presence of ventricular tachycardia (VT),ventricular fibrilation (VF) and non-sustained ventricular tachycardia (NSVT). Methods: 77 consecutive patients with left ventricular dysfunction (LVEF<40%) of combined etiology: 53 coronary artery disease (CAD) and 24 dilated cardiomyopathy (DCMP) were included in the study.The average age was 62 years.The average follow-up was 10 months.The medication use was:beta-blockers 97%,ACEI 92%,ASA 76% and diuretics 89%. LVEF,NYHA,number of affected coronary vessels,QRS width and during the follow-up occurrence of malignant arrhythmias, NSVT and death were assessed. The results of noninvasive markers were compared with MTWA values obtained by bicycle exercise. Results: The average LVEF was 30,3%.65% patients with CAD underwent revascularisation. MTWA was positive in 31 patients (40,3%), in 20 patients (26%) indeterminate and in 31% negative.The average QRS width was 118,9 ms.NSVT occurred in 30,2% patients with CAD and in 25% patients with DCMP.The Patients with NSVT and ventricular premature beats (VPBs) have significantly higher absolute value of MTWA.VT occurred in 24% patients with CAD and in 12,5% patients with DCMP.VF occurred in 9,4% patients with CAD.The majority of patients with a positive MTWA is in a functional class NYHA III.The patients with CAD and positive MTWA have significantly lower LVEF (30,5% vs. 35,9% p=0,048). Death occurred in 2 patients. Conclusions: The patients with a CAD and a positive MTWA have significantly lower LVEF.Patients with NSVT and VPBs have significantly higher absolute value of MTWA. There was no increase in malignant arrhythmias occurrence in MTWA positive patients. |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| العلاقة: | http://europace.oxfordjournals.org/cgi/content/short/11/suppl_2/NP-hTest; http://dx.doi.org/10.1093/europace/euq203Test |
| DOI: | 10.1093/europace/euq203 |
| الإتاحة: | https://doi.org/10.1093/europace/euq203Test http://europace.oxfordjournals.org/cgi/content/short/11/suppl_2/NP-hTest |
| حقوق: | Copyright (C) 2009, European Heart Rhythm Association of the European Society of Cardiology (ESC) |
| رقم الانضمام: | edsbas.FC5B9EB5 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/europace/euq203 |
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