PMID: 696421Jan 1, 1978Paper

Prognostic implications of ventricular arrhythmias registered before discharge and one year after acute myocardial infarction

Acta Medica Scandinavica
N RehnqvistA Sjögren

Abstract

The prognostic weight of ventricular ectopic beats (VEBs) was evaluated in 160 patients discharged after a CCU-treated acute myocardial infarction (AMI) and followed for two years. VEBs were registered prior to discharge by 6 hours of telemetry (3 hours during daytime including exercise and 3 hours at night) and again one year after the AMI. During the first year of follow-up, 11 patients died suddenly and 20 suffered reinfarction. Sixteen (55%) of these had shown severe VEBs, i.e. multiform, paired, R-on-T, or ventricular tachycardia, as compared to 42 (29%) of the remainder. During the second year of follow-up, eight patients suffered reinfarction and five died suddenly. The occurrence of severe VEBs prior to discharge was not of prognostic value for the second year per se but continued to carry prognostic weight for the first plus the second year. One year after the AMI the VEB incidence in 122 survivors without reinfarction increased insignificantly from 71 to 78%. VEB severity increased in 43% and decreased in 27% and the shift towards severe forms is significant. Severe VEBs one year after the AMI carry a prognostic weight for the second follow-up year, as 18% of patients with severe VEBs reinfarcted or died suddenly agai...Continue Reading

References

Jun 15, 1976·European Journal of Clinical Pharmacology·G Ahlmark, H Saetre
Jul 1, 1971·Circulation·B Lown, M Wolf
Dec 1, 1971·Annals of Internal Medicine·A J MossJ Decamilla
Nov 1, 1969·The American Journal of Cardiology·L E HinkleM Stevens
Oct 1, 1968·American Heart Journal·B Lown, C Vassaux

❮ Previous
Next ❯

Citations

Jan 1, 1981·Acta Medica Scandinavica. Supplementum·G von der LippeJ Kjekshus

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.