Prognostic assessment of survivors of ventricular tachycardia and ventricular fibrillation with ambulatory monitoring.
Prognostic assessment of survivors of ventricular tachycardia and ventricular fibrillation with ambulatory monitoring.
复制标题
通过动态监测对室性心动过速和室颤幸存者进行预后评估。
DOI：
10.1016/0002-9149(84)90309-6
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发表时间：
1984
期刊：
影响因子：
--
通讯作者：
Reid,PR
中科院分区：
文献类型：
--
作者：
Vlay,SC;Kallman,CH;Reid,PR
对59例室性心动过速（VT）和室颤的存活者进行了24小时动态心电图复杂程度评估，以评估抗心律失常药物治疗严重室性心律失常患者预后的能力。常规治疗失败后，患者接受研究药物治疗，直至症状性VT消失。一旦治疗方案建立，就对霍尔特监测记录进行分级，以确定是否存在无症状性室性心动过速。52例患者出院时无症状，并随访700天。随访1年的44例患者中，如果1个月时无无无症状VT，则无晕厥复发或死亡（p <0.002）。700天后，27例（82%）1个月时无症状VT的患者恢复良好，而11例（58%）1个月时无症状VT的患者恢复良好（p <0.002）。在有心脏骤停风险的患者中，通过动态监测早期消除无症状室性心动过速可用于预测良好的长期临床反应。
The ability to assess prognosis in patients with serious ventricular arrhythmias treated with antiarrhythmic drugs by the degree of complexity on the 24-hour ambulatory electrocardiogram was evaluated in 59 survivors of ventricular tachycardia (VT) and ventricular fibrillation. After conventional therapy had failed, patients were treated with investigational drugs until symptomatic VT was abolished. A Holter monitor recording, obtained once the therapeutic regimen was established, was graded for the presence or absence of asymptomatic VT. Fifty-two patients were asymptomatic at discharge and were followed for 700 days. Of 44 patients followed for 1 year, none had recurrent syncope or died if asymptomatic VT was absent at 1 month (p <0.002). After 700 days, 27 patients (82%) without asymptomatic VT at 1 month were doing well, compared with 11 patients (58%) with asymptomatic VT at 1 month (p <0.002). In patients at risk for sudden cardiac arrest, early abolition of asymptomatic VT on ambulatory monitoring can be used to predict a good long-term clinical response.