PMID: 8963697Aug 1, 1996Paper

Occurrence of abnormal late ventricular potentials in myocardial ischemia and the determination of risk of sudden cardiac death in patients after myocardial infarct

Bratislavské lekárske listy
S FilipováS Cagán

Abstract

The crucial step in prevention of sudden cardiac death (SCD) is a method of a precise and most accessible identification of those patients with ischaemic cardiac disease (ICD), especially after MI, who are highly presumptive candidates of malign ventricular arrhythmias. The selection of individuals exposed to risk, and individual judgment of the threat to patients after MI is a complex problem. Patients after MI are endangered by reinfarction, cardiac failure, heart wall rupture and primary ventricular tachyarrhythmia. Stratification of patients exposed to a presumably higher risk of probable new coronary event and malign ventricular arrhythmia with an early decision to intervene, gains practical clinical significance. Similarly, it is important to identify also the patients after MI exposed to lower risk, who need no interventional therapeutical procedure. The cardiologic practice utilizes several examinatory procedures and tests, prevailingly of non-invasive character. The study reviews the latest information on pathophysiology and current level of clinical interpretation of non-invasive ecg procedure from the field of high-resolution electrocardiography including the late ventricular potentials (LVP). The study is aimed at: ...Continue Reading

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