Repeated 1 hour electrocardiographic monitoring of survivors of myocardial infarction at 6 month intervals: arrhythmia detection and relation to prognosis.
Repeated 1 hour electrocardiographic monitoring of survivors of myocardial infarction at 6 month intervals: arrhythmia detection and relation to prognosis.
复制标题
以 6 个月为间隔对心肌梗死幸存者进行重复 1 小时心电图监测：心律失常检测及其与预后的关系。
DOI：
10.1016/0002-9149(81)90247-2
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发表时间：
1981
期刊：
影响因子：
--
通讯作者：
S. Shapiro
中科院分区：
文献类型：
--
作者：
W. Ruberman;E. Weinblatt;C. W. Frank;J. Goldberg;S. Shapiro
在一项针对加入大纽约州健康保险计划 (HIP) 的 1,739 名男性心肌梗死幸存者的室性早搏与猝死之间关系的研究中，患者在基线检查时接受了 1 小时的心电图监测。在长达 5 1/2 年的随访期间，幸存者每 6 个月接受一次重复监测，最多进行四次监测。在每次监测中，恒定比例的男性（25%）在一小时内表现出复杂的室性早搏（两次或两次以上、R on T 现象、二联或多形式搏动）。与没有这种心律失常的男性相比，那些在给定小时内表现出这些复杂形式的人在随后的监测小时内表现出此类心律失常的可能性是其三倍。在所有病例中，患有复杂室性早搏的男性在四次监测观察中每一次观察后 3 1/2 年内的死亡风险均升高。在此期间，没有这种情结的男性猝死的风险为 6%，有这种情结的男性则为 13% 至 17%。一项对 1,445 名男性进行的研究发现，在基线检查和 6 个月后的检查中，连续出现室性早搏是猝死的一个特别重要的先兆。
In a study of the relation between ventricular premature beats and sudden death among 1,739 male survivors of myocardial infarction enrolled in the Health Insurance Plan of Greater New York (HIP), patients underwent 1 hour of electrocardiographic monitoring at a baseline examination. During follow-up periods of up to 5 1/2 years, survivors underwent repeated monitoring at 6 month intervals for a maximum of four monitorings. At each monitoring a constant proportion of the men—25 percent—showed complex ventricular premature beats (runs of two or more, R on T phenomenon, bigeminal or multiform beats) during the hour. In comparison with men free of such arrhythmia, those demonstrating these complex forms in a given hour were three times as likely to show such beats in a subsequent monitoring hour. The mortality risk over 3 1/2 years after each of the four monitoring observations was in all cases elevated among men with complex ventricular premature beats. The risk of sudden death over this period was 6 percent for men without and 13 to 17 percent for men with such complexes. A study of the 1,445 men who underwent monitoring both at baseline examination and 6 months later identified the presence of runs of ventricular premature beats in either observation as a particularly important harbinger of sudden death.