首页> 外文期刊>Europace: European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology >Risk factors of self-terminating and perpetuating ventricular tachyarrhythmias in post-infarction patients with moderately depressed left ventricular function, a CARISMA sub-analysis.
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Risk factors of self-terminating and perpetuating ventricular tachyarrhythmias in post-infarction patients with moderately depressed left ventricular function, a CARISMA sub-analysis.

机译:CARISMA子分析,中度左室功能低下的梗死后患者自我终止和永久性室性心律失常的危险因素。

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AIMS: The present study aimed to assess whether there are differences in risk indicators for perpetuating ventricular tachyarrhythmias (pVT) and self-terminating ventricular tachyarrhythmias (stVT). METHODS AND RESULTS: Patients with acute myocardial infarction (AMI) and baseline left ventricular ejection fraction /= 16 beats and < 30 s), and 21 patients (7%) a pVT. The occurrence of non-sustained ventricular tachycardia on Holter significantly predicted stVT [hazard ratio (HR) = 2.90, 1.26-6.67, 95% confidence interval (CI), P = 0.01], but not pVT during the follow-up. The inducibility during PES (HR = 5.02, 1.85-13.60, 95% CI, P = 0.001), SAECG-QRS >/= 130 ms (HR = 8.73, 3.38-22.56, 95% CI, P < 0.001), the short-term scaling exponent HRV parameter
机译:目的:本研究旨在评估持续性室性快速性心律失常(pVT)和自我终止性室性快速性心律失常(stVT)的风险指标是否存在差异。方法和结果:急性心肌梗死(AMI)和基线左心室射血分数≥40%(n = 292)的患者在AMI后5到21天接受了植入式心电图记录仪,并随访24个月以记录急性心肌梗塞(CARISMA)研究后的心律失常中的心律失常事件和风险分层。若干风险标志,例如在程序性电刺激(PES)期间诱发持续性室性心动过速,信号平均ECG QRS持续时间(SAECG-QRS),心率变异性(HRV)和湍流(HRT),T波交替,急性心肌梗死后第6周,对Holter的非持续性室性心动过速进行分析。在随访期间,有26例患者(9%)经历了stVT(> / = 16次搏动且<30 s),而21例患者(7%)发生了pVT。动态心电图上非持续性室性心动过速的发生可显着预测stVT [危险比(HR)= 2.90,1.26-6.67,95%置信区间(CI),P = 0.01],但在随访期间无pVT。 PES(HR = 5.02,1.85-13.60,95%CI,P = 0.001),SAECG-QRS> / = 130 ms(HR = 8.73,3.38-22.56,95%CI,P <0.001),短时的诱导性长期比例指数HRV参数

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