Clinical Value of Electrophysiologic Study in Patients with Nonsustained Ventricular Tachycardia.

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概要

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• Electrophysiologic study (EPS) was performed in 68 consecutive patients with nonsustained ventricular tachycardia (VT) detected by ambulatory monitoring. The study group consisted of 11 patients with coronary artery disease, 11 patients with idiopathic cardiomyopathy or myocarditis, 2 patients with valvular heart disease, 1 patient with post atrial septal defect repair and 43 patients with a normal heart. Syncope or presyncope was found in 34 percent of these patients. EPS was performed after all antiarrhythmic drugs were withdrawn for more than 5 days. Nonsustained VT, sustained VT, and ventricular fibrillation were induced in 21%, 4%, and 4% respectively.VT was induced more frequently in patients with organic heart diseases but it was not related to the history of syncope. Ejection fraction in the inducible patients was not different from that of the noninducible patients. During the mean follow up period of 31 months, there was no cardiac death. The results suggest that the prognosis of patients with nonsustained VT is good and the clinical significance of their EPS findings seems to be limited.

• International Heart Journal刊行会の論文

著者

• Shibata Akira

  First Department Of Internal Medicine Niigata University Niigata Case Western Reserve University

• Kimura Michio

  Department Of 2nd Anatomy Toyama Medical And Pharmaceutical University

• Takahashi Masashi

  Department Of Animal And Grassland Research National Agricultural Center For Kyushu Okinawa Region

• KOBAYASHI Isao

  Department of Clinical Laboratory Medicine, Gunma University Graduate School of Medicine

• AIZAWA Yoshifusa

  First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.

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