Concomitant Early Repolarization Increases Occurrences of Ventricular Fibrillation in Patients with Acute Myocardial Infarctions
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概要
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<B>Background:</B> No studies have clarified whether or not there is an association between electrocardiographic early repolarization and the VF occurrences after the onset of AMI. <B>Methods:</B> This study included 220 consecutive patients with AMIs (69±11 years; 57 females) in whom 12-lead ECGs before the AMI onset could be evaluated. The patients were classified based on the VF occurrence within 48 hours after the AMI onset. Early repolarization was defined as an elevation of the QRS-ST junction of >0.1 mV from baseline in at least 2 inferior or lateral leads, manifested as QRS slurring or notching. <B>Results:</B> Twenty-one (10%) patients experienced an episode of VF within 48 hours of AMI onset. A multivariate analysis revealed that early repolarization (odds ratio [OR]=6.45; 95% confidence interval [CI]=2.07 to 20.40; p<0.01), a time from onset to admission less than 180 minutes (OR=3.54; 95% CI=1.08 to 11.53; p<0.05), and a Killip class greater than I (OR=11.43; 95% CI=3.22 to 40.59; p<0.001) were independent predictors of VF occurrences. <B>Conclusion:</B> The presence of early repolarization increases the risk of VF occurrences within 48 hours after the AMI onset.
著者
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Tada Hiroshi
Cardiology Department of Internal Medicine, Univercity of Tsukuba Graduate School of Comprehensive H
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Yoshida Kentaro
Cardiology Department of Internal Medicine, University of Tsukuba Graduate School of Comprehensive H
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Sekiguchi Yukio
Cardiology Department Of Internal Medicine University Of Tsukuba Graduate School Of Comprehensive Hu
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Aonuma Kazutaka
Cardiology Department Of Internal Medicine University Of Tsukuba Graduate School Of Comprehensive Hu
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Takeyasu Noriyuki
Cardiovascular Division Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Sato Akira
Cardiovascular Center Yokosuka Kyosai Hospital
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Harimura Yoshie
Cardiovascular Division Institute Of Clinical Medicine Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Naruse Yoshihisa
Cardiovascular Division Institute Of Clinical Medicine Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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YOSHIDA Kentaro
Cardiovascular Division, Institute of Clinical Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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Hayashi Mayu
Cardiovascular Division, Ibaraki Prefectural Central Hospital
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Takeyasu Noriyuki
Cardiovascular Division, Ibaraki Prefectural Central Hospital
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Harimura Yoshie
Cardiovascular Division, Tsukuba Medical Center Hospital
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Sato Akira
Cardiovascular Division, Institute of Clinical Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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