[Evaluation of arrhythmic risk in coronary insufficiency]
Autor: | Serge Boveda, Galinier M, Lagrange P, Delay M, Massabuau P, Dongay B, Prouteau N, Marti J, Jm, Fauvel, Jp, Bounhoure |
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Jazyk: | francouzština |
Rok vydání: | 2003 |
Předmět: |
Heart Failure
Arrhythmias Cardiac Coronary Disease Hypokalemia Stroke Volume Risk Assessment Severity of Illness Index Syncope Ventricular Function Left Death Sudden Cardiac Risk Factors Electrocardiography Ambulatory Syncope Vasovagal Humans Diuretics Electrophysiologic Techniques Cardiac Biomarkers |
Zdroj: | Europe PubMed Central |
ISSN: | 0003-3928 |
Popis: | Half of all deaths occurring in patients with heart failure are sudden deaths probably related to a malignant ventricular arrhythmia. The pathophysiological mechanisms of these arrhythmias are unclear, but left ventricular function, hypokalaemia accentuated by diuretics and treatments altering inotropism play a definite role. Because of the diversity of aetiologies generating heart failure, the multiplicity of fatal arrhythmias and the multifactorial origin of these arrhythmias, there is no formal marker for the risk of sudden death in patients with heart failure, at the present time. In addition to the NYHA classification and detection of episodes of syncope, assessment of these patients must be as complete as possible, at least including repeated evaluation of the ejection fraction, Holter ECG monitoring and detection of delayed ventricular potentials. |
Databáze: | OpenAIRE |
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