Análise de potenciais tardios em pacientes com arritmias ventriculares malignas / Late potentials analysis in patients with malignant ventricular arrhythmia

ABSTRACT

PURPOSE--To assess the relationship between late potentials and spontaneous ventricular arrhythmias, organic heart disease, inducibility of arrhythmias at electrophysiological study and ejection fraction. METHODS--The population is comprised by 52 patients (41 men, 11 women with mean age 50 +/- 16 years) with spontaneous clinically documented ventricular tachycardia or ventricular fibrillation. An electrophysiological study was performed with conventional programmed stimulation. Within a week of the test a study of late potentials was also performed. RESULTS--Late potentials were documented in 73 per cent of the patients with ventricular tachycardia and only in 17 per cent of the patients with ventricular fibrillation. Sixty-eight percent of the patients with ischemic cardiopathy presented late potentials and in these, ventricular tachycardia was inducible in 93 per cent . Only one from a group of 7 patients with ventricular arrhythmias and no organic heart disease, presented late potentials. In patients with late potentials, 84 per cent have inducible ventricular tachycardia, but only 26 per cent of patients without late potentials have inducible ventricular tachycardia. The incidence of late potentials was inversely correlated with left ventricular ejection fraction. CONCLUSION--The presence of late potentials was more frequent in patients with ventricular tachycardia than in patients with ventricular fibrillation. The presence of late potentials has a sensibility of 81.5 per cent and a specificity of 78 per cent to detect patients with inducible ventricular tachycardia