CHARACTERISTICS OF VENTRICULAR PREMATURE CONTRACTIONS AND THEIR CLINICAL COURSE

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概要

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• One hundred patients with frequent (>1,000 beats/day) ventricular premature contractions (VPCs) were followed for 4 years. All of the patients, except those with non-cardiac death (n = 8), were classified into 3 groups based on their outcome. Group A consisted of 29 patients with idiopathic VPCs who survived the study period. Group B consisted of 49 patients with underlying diseases who survived the study period. Group C consisted of 14 patients who suffered cardiac death. There was no significant difference in the daily number of VPCs. However, groups B and C had more patients with Lown grade 4a or 4b VPCs than group A. The mean coupling interval was significantly longer in group C than in group A, and the standard deviation of the coupling interval was significantly larger in group C than in group A. Forty patients underwent serial Holter monitorings to assess changes in the number of VPCs. VPCs spontaneously decreased in 13 patients, while the other 27 patients continued to have frequent VPCs. Most of these 13 patients were classified as Lown grade 2. The results suggest that in patients with frequent VPCs, longer and more varied coupling intervals may predict a poor prognosis, and Lown grade 2 may predict a spontaneous regression.

• 社団法人日本循環器学会の論文
• 1994-02-20

著者

• Muratani H

  Department Of Clinical Pharmacology And Therapeutics Tohoku University

• Fujimoto Yukihiro

  First Department Of Internal Medicine Tottori University

• Doi Tetsuya

  First Division Department Of Internal Medicine Tottori University

• Mashiba Hiroto

  Kure Kyosai Hospital

• Shirota Kinya

  First Division, Department of Internal Medicine, Tottori University

• Fukuki Masaharu

  First Division, Department of Internal Medicine, Tottori University

• Mashiba Hiroto

  First Division, Department of Internal Medicine, Tottori University

• Kotake Hiroshi

  First Department of Internal Medicine, Tottori University

• HIROKANE YUJI

  First Department of Internal Medicine, Tottori University School of Medicine

• DOI TETUYA

  First Department of Internal Medicine, Tottori University School of Medicine

• Fukuki Masaharu

  The First Department Of Internal Medicine Faculty Of Medicine Tottori University

• Fukui Masaharu

  The First Department Of Internal Madicine Tottori University

• Hiroe Koh

  First Department Of Internal Medicine Tottori University Faculty Of Medicine

• Hirokane Yuji

  First Department Of Internal Medicine Tottori University School Of Medicine

• Shirota Kinya

  First Division Department Of Internal Medicine Tottori University

• Kotake Hiroshi

  The First Department Of Internal Medicine Tottori University School Of Medicine

• Mashiba Hiroto

  The First Department Of Internal Medicine Tottori University School Of Medicine

• Mashiba Hiroto

  First Department Of Medicine Faculty Of Medicine Khushu University

• Fujimoto Yukihiro

  The First Department Of Medicine Tottori University School Of Medicine

• Fujimoto Yukihiro

  First Department Of Internal Medicine Faculty Of Medicine Tottori University

• Mashiba Hiroto

  The First Department Of Internal Medicine Tottori University

• Kotake Hiroshi

  1st Department Of Internal Medicine Tottori University School Of Medicine

• Mashiba Hiroto

  1st Department Of Internal Medicine Tottori University School Of Medicine

• Kotake Hiroshi

  First Department Of Internal Medicine Tottori University School Of Medicine

• MASHIBA Hiroto

  First Department of Internal Medicine and Research Institute for Angiocardiology, Faculty of Medicine, Kyushu University

• FUKUKI Masaharu

  First Department of Internal Medicine, Tottori University School of Medicine

• SHIROTA Kinya

  First Department of Internal Medicine, Tottori University School of Medicine

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