Clinical Characteristics and Predicting Factors of Electrical Storm in Patients with Ischemic Heart Disease and Left Ventricular Dysfunction
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概要
- 論文の詳細を見る
Electrical storm (ES) is defined more than 3 times ICD therapy per day. Several papers reported that patients who have suffered from ES had poor prognosis and high mortality, therefore clinical characteristics and predicting factors of patients with ES should be identified. <B>Method:</B> The subject is consecutive 93 patients who had ischemic heart disease (IHD), left ventricular ejection fraction (LVEF) <35%, and implantable defibrillators. At the time of ICD implantation, mean age was 67±9.6 years, 77 patients (83%) were male and mean LVEF was 33±13%. NYHA class I, II, or III was 55, 22, or 16 patients, respectively. The outcomes of these patients was investigated retrospectively. <B>Results:</B> During a mean follow-up period of 41 months, 15 patients (15%) suffered from ES. Although there was no significant difference of age, gender, or LVEF between patients with ES and without ES, patients with ES had significantly higher prevalence of NYHA II or III. Cox-regression analysis revealed that the induction of monomorphic VT by non-invasive electrophysiologic study was the predicting factors of ES. <B>Conclusion:</B> In patients with IHD and LV dysfunction, the advanced state of heart failure is related to ES and monomorphic VT induction might predict the occurrence of ES.
著者
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Kikuchi Miwa
Division Of Cardiology Department Of Medicine Showa University
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Ito Hiroyuki
Division Of Applied Bioscience Graduate School Of Agriculture Hokkaido University
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Kobayashi Youichi
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
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Miyoshi Fumito
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
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Tanno Kaoru
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
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Asano Taku
Division Of Cardiology Department Of Internal Medicine Showa University School Of Medicine
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Kawasaki Shiro
Division of Cardiology, Depart of Medicine, Showa University
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Onishi Yoshimi
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
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Onishi Yoshimi
Division of Cardiology Department of Medicine, Showa University
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Adachi Taro
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
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Adachi Taro
Division of Cardiology Department of Medicine, Showa University
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Kobayashi Youichi
Division of Cardiology, Department of Internal Medicine, Showa University School of Medicine
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