| Autor: |
DE COCK, C. C., VISSER, F. C., VAN EENIGE, M. J., ROOS, J. P. |
| Zdroj: |
European Heart Journal; Oct1991, Vol. 12 Issue 10, p1070-1075, 6p |
| Abstrakt: |
To determine the prognostic value of supraventricular arrhythmias, in addition to ventricular arrhythmias and clinical variables after myocardial infarction, 99 consecutive patients had 24-h ambulatory monitoring within 2 weeks of discharge. All patients completed at least 4-year follow-up (mean 56±6 month). During follow-up there were 29 cardiac events (13 cardiac deaths and 16 reinfarctions). The highest risk was associated with ventricular tachycardia (positive predictive accuracy 100%, negative predictive accuracy 75%, risk ratio 4 and supraventricular tachycardia i.e. paroxysmal tachycardia or AV nodal tachycardia (positive predictive accuracy 86%, negative predictive accuracy 80%, risk ratio 4 By multivariate analysis, sup raventricular tachycardia proved lobe an independent predictive variable, in addition to ventricular tachycardia, premature ventricular depolarisations≥10 h and the presence of Killip class≥II while in the coronary care unit for future cardiac events. These data suggest that supraventricular tachycardias detected on 24-h ambulatory monitoring shortly after discharge carry a poor prognosis and may indicate a d pathophysiology as compared to ventricular tachycardias. [ABSTRACT FROM PUBLISHER] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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