Srovnání QT disperze a turbulence srdeční frekvence
Autor: | Havránek, Štěpán |
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Jazyk: | čeština |
Rok vydání: | 2008 |
Druh dokumentu: | Doctoral Thesis |
Popis: | Introduction: Both QT dispersion (QTD) and heart rate turbulence (HRT) were studied and tested like potential noninvasive markers for risk stratification. Aims: Compare QTD between different groups of patients with expected different mechanism of developing changes in QTD. Investigate if HRT is present following ventricular train drives and depends on left ventricular dysfunction. Test the hypothesis that QTD and HRT parameters assessed during programmed ventricular stimulation correlated to each other and there is association with iducibility of ventricular arrhythmia. Methods: We analysed body surface potential mapping (BSPM) recordings and vectorcardiographic T-loop parameters (T-loop width - Tw and T-loop amplitude - Ta) in 37 healthy women (20 - 36 yrs) in the 36th to 40th week of physiological pregnancy and 2 to 6 days after delivery. Control group contained 18 healthy women. Then we analysed BSPM recordings from 27 psychiatric outpatients treated with prophylactic doses of dosulepin (20 women, 44 ± 13 yrs) and compared to those obtained from 37 healthy volunteers. From these recordings the QTD was evaluated. This parameter was estimated using both BSPM recordings and 12 lead standard ECG. Acquired data were statistically correlated with Tw or Ta and dosulepin plasma levels, respectively. Distribution... |
Databáze: | Networked Digital Library of Theses & Dissertations |
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