Mode of Ventricular Tachycardia Induction as the Predictors of Implantable Cardioverter Defibrillator Therapy in Patients with Low Ejection Fraction
スポンサーリンク
概要
- 論文の詳細を見る
<B>Background:</B> Previous studies have shown that the prognostic significance of ventricular tachycardia (VT) induced by 3 ventricular extrastimuli (VES) is similar to VT induced by 1 or 2 VES in low ejection fraction (EF) patients. But it is unknown that the mode of VT induction is associated with implantable cardioverter defibrillator (ICD) therapy. <B>Methods and Results:</B> We retrospectively investigated 109 consecutive patients with structural heart diseases who received ICD implants. Patients without inducible VTs and hypertrophic cardiomyopathy were excluded from the study. Total of 69 patients were included. They were divided into 2 groups; (A) VTs induced by 1 or 2 VES (n=31), (B) Induced by other stimulation (n=38). There was no difference in EF (33% vs. 36%, P=NS). During a mean follow-up of 47.9±40.2 months, 31 patients (44.9%) received appropriate ICD therapy (shocks or antitachycardia pacing). Twenty-one patients in Group A and 10 in Group B received appropriate ICD therapy (67.7% vs. 26.3%, P=0.001). <B>Conclusion:</B> In this retrospective analysis, mode of VT induction, especially 1 to 2 VES, was a predictor of ICD therapy in low EF patients.
著者
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Hiraoka Masayasu
Tokyo Medical and Dental Uni.
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Fukamizu Seiji
Department Of Cardiology Surugadai Nihon University Hospital
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Sakurada Harumizu
Department Of Cardiology Metropolitan Hiroo Hospital
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Tejima Tamotsu
Department of Cardiology, Tokyo Metropolitan Hiroo Hospital
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Soejima Kyoko
Department Of Cardiology Keio University Hospital
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Komiyama Kota
Department Of Allergy And Rheumatology Japanese Red Cross Medical Center Hospital
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Tejima Tamotsu
Department Of Cardiology Tokyo Metropolitan Hiroo General Hospital
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Nishizaki Mitsuhiro
Department Of Cardiology Yokohama Minami Kyosai Hospital
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Tanabe Yasuhiro
Department Of Cardiology Tokyo Metropolitan Hiroo General Hospital
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Hayashi Takekuni
Department Of Cardiology Saitama Medical Center Jichi Medical University
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Abe Tomomi
Department Of Cardiology Kitano Hospital Medical Research Institute
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Matsushita Noriko
Department Of Applied Chemistry. Faculty Of Engineering Toyama University
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Hojo Rintaro
Department of Cardiology, Tokyo Metropolitan Hiroo General Hospital
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Soejima Kyoko
Department of Cardiology, Tokyo Metropolitan Hiroo Hospital
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