Clinical Study of Ventricular Premature Beats Detected by Ambulatory ECG Monitoring After Acute Myocardial Infarction
Korean Circulation Journal
;
: 291-296, 1985.
Artículo
en Coreano
| WPRIM
| ID: wpr-172501
ABSTRACT
A 24 hour ECG monitoring was performed before hospital discharge in 19 patients who survived the hospital phase of acute myocardial infarction and follow-up 6 hour daytime ambulatory ECG monitoring was performed in 11 out of 19 patients 6 months after discharge. In predischarge ambulatory ECG monitoring, VPBs were detected in 78.9% with 26% of complex VPB s(bigeminy, multiform, salvos and R on T) and these rates were some-what decreased in follow-up study(63.6% and 19%). The mean number of VPBs was decreased in follow-up study(18.6+/-7.6/hour) than that of predischarge ECG monitoring(27.9+/-1/hour), but the premature index was similar in both studies. In patients with complex VPBs, the mean number of VPBs(93+/-17.1/hour) was greater than that of low grade VPBs(6.5+/-1.8/hour)(P<0.01) and the EPSS measured by echocardiography was greater in patient with VPBs than inpatients without VPBs(P<0.05). Inspite of using antiarrhythmic drugs such as beta-blocker and calcium channel blocker, only half of the patients improved and one-third of patients were aggravated. Sudden cardiac death was datected in one patient at 13th month after discharge who had multiple-site infarction and ventricular tachycardia.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Ecocardiografía
/
Canales de Calcio
/
Estudios de Seguimiento
/
Muerte Súbita Cardíaca
/
Taquicardia Ventricular
/
Electrocardiografía
/
Complejos Cardíacos Prematuros
/
Infarto
/
Pacientes Internos
/
Antiarrítmicos
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Circulation Journal
Año:
1985
Tipo del documento:
Artículo
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