A prospective study on the risk-stratification for patients with non-sustained ventricular tachycardia using a novel algorithm
| Autor: | Takashi Nitta, Akira Ueno, Takao Kato, Toshimi Yajima, Kenji Yodogawa, Yasushi Miyauchi, Yoshinori Kobayashi, Teruo Takano |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Heart disease medicine.medical_treatment Kaplan-Meier Estimate Ventricular tachycardia Risk Assessment Sudden cardiac death Risk Factors Internal medicine medicine Humans Prospective Studies Family history Prospective cohort study Aged Ejection fraction medicine.diagnostic_test business.industry Patient Selection General Medicine Middle Aged medicine.disease Implantable cardioverter-defibrillator Defibrillators Implantable Death Sudden Cardiac Cardiology Tachycardia Ventricular Female Cardiology and Cardiovascular Medicine business Electrocardiography Algorithm Algorithms Follow-Up Studies |
| Zdroj: | Circulation journal : official journal of the Japanese Circulation Society. 71(7) |
| ISSN: | 1346-9843 |
| Popis: | Background The therapeutic strategy for non-sustained ventricular tachycardia (NSVT), considered as a risk-stratifier for sudden cardiac death (SCD), still remains undetermined. Methods and Results In the present study 222 of 4,079 patients (5.4%) hospitalized with NSVT during 2002 to 2004 were prospectively evaluated using an algorithm for risk-stratification according to each type of structural heart disease. The algorithm comprises the left ventricular ejection fraction, signal-averaged electrocardiography, programmed ventricular stimulation and the family history of SCD. Of the 222 patients, 151 (68.0%) were successfully risk-stratified and 32 patients consequently received an implantable cardioverter defibrillator (ICD) (21.2%; algorithm-ICD group). The remaining 119 patients without an ICD (algorithm-observation group) were observed. During 27.7±11.4 months of follow-up, the patients in the algorithm-ICD group had a significantly higher prevalence of tachyarrhythmic events than did those in the algorithm-observation group (9/32 vs 1/119; p |
| Databáze: | OpenAIRE |
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