Surgery for control of recurrent life-threatening ventricular tachyarrhythmias within 2 months of myocardial infarction

Autor: Bourke, John P., Hilton, Colin J., McComb, Janet M., Cowan, J.Campbell, Tansuphaswadikul, Suda, Kertes, Paul J., Campbell, Ronald W.F.
Zdroj: Journal of the American College of Cardiology; July 1990, Vol. 16 Issue: 1 p42-48, 7p
Abstrakt: Twenty-seven patients (mean age 57 ± 7 years) underwent surgery for control of recurrent drug-refractory ventricular tachyarrhythmias (uniform ventricular tachycardia alone in 9 patients, ventricular tachycardia and ventricular fibrillation in 15 and ventricular fibrillation alone in 3) within 2 months of acute myocardial infarction. The mean number of major arrhythmic episodes per patient was 15 (range 2 to 200) and of drug failures 4 ± 2. Left ventricular function was severely impaired in the majority (ejection fraction 29%; range 14% to 47%) and 18 patients (66%) had a left ventricular aneurysm.
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