A Prospective Study on the Risk-Stratification for Patients With Non-Sustained Ventricular Tachycardia Using a Novel Algorithm

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概要

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• Background The therapeutic strategy for non-sustained ventricular tachycardia (NS VT), considered as a risk-stratifier for sudden cardiac death (SCD), still remains undetermined. Methods and Results In the present study 222 of 4,079 patients (5.4%) hospitalized with NSVT during 2002 to 2004 were prospectively evaluated using an algorithm for risk-stratification according to each type of structural heart disease. The algorithm comprises the left ventricular ejection fraction, signal-averaged electrocardiography, programmed ventricular stimulation and the family history of SCD. Of the 222 patients, 151 (68.0%) were successfully risk-stratified and 32 patients consequently received an implantable cardioverter defibrillator (ICD) (21.2%; algorithm-ICD group). The remaining 119 patients without an ICD (algorithm-observation group) were observed. During 27.7±11.4 months of follow-up, the patients in the algorithm-ICD group had a significantly higher prevalence of tachyarrhythmic events than did those in the algorithm-observation group (9/32 vs 1/119; p<0.05). In the algorithm-ICD group, 2, 1 and 6 patients experienced an SCD, aborted SCD and appropriate ICD intervention, respectively, while there was only 1 SCD in the algorithm-observation group. Conclusions The proposed algorithm for risk-stratification of patients with NSVT may be feasible for appropriate selection of high-risk patients and candidates for prophylactic ICD implantation.

• 社団法人日本循環器学会の論文
• 2007-06-20

著者

• TAKANO Teruo

  Department of Internal Medicine, Nippon Medical School

• NITTA TAKASHI

  Department of Surgery, Cardiovascular Surgery, Nippon Medical School

• Katoh Takao

  1st Department Of Internal Medicine Nippon Medical School

• Tanaka K

  The First Department Of Internal Medicine Nippon Medical School

• Kobayashi Yoshinori

  Department Of Internal Medicine And Cardiology Tama-nagayama Hospital Nippon Medical School

• Yajima Toshimi

  The Cardiovascular Institute Department Of Medicine Keio University School Of Medicine

• Takano T

  Intensive & Cardiac Care Unit Nippon Medical School

• YAMASHITA Takeshi

  The Cardiovascular Institute

• Kusama Yoshiki

  Department Of Internal Medicine And Cardiology Tama-nagayama Hospital Nippon Medical School

• Nitta Takashi

  Division Of Cardiovascular Surgery Nippon Medical School

• Takayama Tadateru

  Tokyo CCU Network Scientific Committee

• Takano Teruo

  Tokyo CCU network Scientific Committee

• Takano Teruo

  日本医科大学附属第二病院 健康管理科

• Takano Teruo

  日本医科大学 内科学第一

• Yodogawa Kenji

  Cardiovascular Center Chiba-hokusoh Hospital Nippon Medical School

• Miyauchi Yasushi

  Department of Cardiology, Nippon Medical School

• Miyagi Yasuo

  Department Of Surgery 2 Nippon Medical School

• Ueno Akira

  Intensive And Cardiac Care Unit Nippon Medical School

• Miyauchi Yasushi

  1st Department Of Internal Medicine Nippon Medical School

• Kato Takao

  Department of Cardiology, Graduate School of Medicine, Kyoto University

• Tanimoto Kyomi

  Department Of Disease Control And Homeostasis Graduate School Of Medical Science Kanazawa University

• Takano Teruo

  Department Of Internal Medicine Nippon Medical School

• Takano Teruo

  Division Of Cardiology Hepatology Geriatrics And Integrated Medicine Department Of Internal Medicine

• Kato Takeshi

  The First Department Of Internal Medicine Nippon Medical School

• Miyauchi Yasushi

  Department Of Surgery 2 Nippon Medical School

• Nitta Takashi

  The Department Of Cardiovascular Surgery Nippon Medical School

• YAJIMA Toshimi

  Department of Surgery II.Division of Cardiovascular Surgery,Nippon Medical School

• Takano Teruo

  The First Department Of Internal Medicine Nippon Medical School

• Ueno Akira

  Department of Internal Medicine, Division of Cardiology, Nippon Medical School

• Yodogawa Kenji

  Department of Internal Medicine, Division of Cardiology Nippon Medical School

• Takano Teruo

  Department Of 1st. Internal Medicine Nippon Medical School

• Kusama Yoshiki

  First Department Of Internal Medicine Nippon Medical School

• Tamura Koji

  Department Of Cardiology Tokyo Women's Medical University Heart Institute Of Japan

• Yodogawa Kenji

  1st Department Of Internal Medicine Nippon Medical School

• Takano Teruo

  Department Of Lnternal Medicine Nippon Medical School

• Nitta Takashi

  Department Of Cardiovascular Surgery Nippon Medical School

• Yodogawa Kenji

  Department Of Cardiology Tohsei National Hospital

• Kusama Yoshiki

  Nippon Medical School

• Katoh T

  Division Of Cardiology Department Of Medicine Nippon Medical School

• Nitta Takashi

  Department Of Biological Regulation And Regenerative Surgery Nippon Medical School Graduate School O

• Kobayashi Yoshinori

  Department Of Internal Medicine And Cardiology Nippon Medical School Tama-nagayama Hospital

• Nitta Takashi

  Department Of Cardiothoracic Surgery Nippon Medical School

• Takano Teruo

  Division Of Cardiology Department Of Medicine Nippon Medical School

• Tanaka Keiji

  Division Of Cardiology Department Of Internal Medicine Nippon Medical School

• Kobayashi Yoshinori

  Department Of Applied Physics Faculty Of Science Science University Of Tokyo

• Takano Teruo

  Department Of Internal Medicine (division Of Cardiology Hepatology Geriatrics And Integrated Medicin

• Yajima Toshimi

  Department Of Surgery Ii.division Of Cardiovascular Surgery Nippon Medical School

• Nitta Takashi

  Department Of Surgery Cardiovascular Surgery Nippon Medical School

• Takahashi Yasuhiro

  Division Of Cardiology Department Of Internal Medicine Nippon Medical School

• Yajima Toshimi

  Department Of Cardiovascular Surgery Nippon Medical School

• Yamamoto Teppei

  Division Of Cardiology And Regenerative Medicine Department Of Internal Medicine Nippon Medical School

• Kato Takao

  Department of Applied Chemistry, Faculty of Engineering, Yamagata University

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