Premature ventricular contraction-induced cardiomyopathy: Related clinical and electrophysiologic parameters
Background Factors associated with premature ventricular contraction-induced cardiomyopathy (PVCi-CMP) remain debated. Objective The purpose of this study was to test the correlation of various factors to the presence PVCi-CMP in a large multicenter population. Methods One hundred sixty-eight consec...
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| Veröffentlicht in: | Heart rhythm 2016, Vol.13 (1), p.103-110 |
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| creator | Sadron Blaye-Felice, Marie, MD Hamon, David, MD Sacher, Frédéric, MD Pascale, Patrizio, MD Rollin, Anne, MD Duparc, Alexandre, MD Mondoly, Pierre, MD Derval, Nicolas, MD Denis, Arnaud, MD Cardin, Christelle, MD Hocini, Mélèze, MD Jaïs, Pierre, MD Schlaepfer, Jürg, MD Bongard, Vanina, MD Carrié, Didier, MD Galinier, Michel, MD Pruvot, Etienne, MD Lellouche, Nicolas, MD Haïssaguerre, Michel, MD Maury, Philippe, MD |
| description | Background Factors associated with premature ventricular contraction-induced cardiomyopathy (PVCi-CMP) remain debated. Objective The purpose of this study was to test the correlation of various factors to the presence PVCi-CMP in a large multicenter population. Methods One hundred sixty-eight consecutive patients referred for ablation of frequent premature ventricular contractions (PVCs) were included. Patients were divided into 2 groups: group 1 with suspected PVCi-CMP (96 patients, ejection fraction 38% ± 10%, left ventricular end-diastolic diameter 62 ± 8 mm, with or without additional structural heart disease); and group 2 (control group, 72 patients with normal ejection fraction and left ventricular dimensions). Various clinical and electrophysiologic parameters were compared between groups. Results In univariate analysis, left ventricular origin of PVC, lack of palpitations, long PVC coupling interval, epicardial origin of the focus, long sinus beat QRS duration, male gender, high PVC burden, presence of polymorphic PVCs, high PVC QRS duration, and older age were significantly related to the presence of PVCi-CMP. In multivariate analysis, only lack of palpitations, PVC burden, and epicardial origin remained significantly and independently correlated with the presence of cardiomyopathy. Even if sinus QRS duration or PVC left ventricular origin were also found independently linked to PVCi-CMP in the whole population, they were no longer correlated when patients with additional heart disease were excluded. Conclusion Lack of palpitations, PVC burden, and epicardial origin are independent factors that identify patients prone to developing PVCi-CMP. |
| doi_str_mv | 10.1016/j.hrthm.2015.08.025 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1753012930</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1547527115010760</els_id><sourcerecordid>1753012930</sourcerecordid><originalsourceid>FETCH-LOGICAL-c459t-3301101f46713181c8acfdab876e362cdf50f1169307725da518df19c9b371db3</originalsourceid><addsrcrecordid>eNqFkc2L1TAUxYMozof-BYJ06aY1N3lpWkFBBh2FAcWPdchLbn15pk1N0oH-96a-GRduXOUQzrmX-zuEPAPaAIX25bE5xHwYG0ZBNLRrKBMPyDkI0da8k_Bw0ztZCybhjFykdKSU9S3lj8kZa4viTJ4T_zniqPMSsbrFKUdnFq9jZULR2mQXptpNdjFoK6OjdWFcw6zzYX1VfUGv8_bv3eSM9pWebIUeTY5hPqzJBR9-OFPNOuoRM8b0hDwatE_49O69JN_fv_t29aG--XT98ertTW12os815xTKhcOulcChA9NpM1i972SLvGXGDoIOAG3PqZRMWC2gswP0pt9zCXbPL8mL09w5hl8LpqxGlwx6rycMS1IgRVnBSr5Y-clqYkgp4qDm6EYdVwVUbZjVUf3BrDbMinaqYC6p53cLlv2I9m_mnmsxvD4ZsJx56zCqZBxOBaOLBZCywf1nwZt_8veUf-KK6RiWOBWCClRiiqqvW9Nb0SAoUFlK_g0v8KaP</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1753012930</pqid></control><display><type>article</type><title>Premature ventricular contraction-induced cardiomyopathy: Related clinical and electrophysiologic parameters</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Sadron Blaye-Felice, Marie, MD ; Hamon, David, MD ; Sacher, Frédéric, MD ; Pascale, Patrizio, MD ; Rollin, Anne, MD ; Duparc, Alexandre, MD ; Mondoly, Pierre, MD ; Derval, Nicolas, MD ; Denis, Arnaud, MD ; Cardin, Christelle, MD ; Hocini, Mélèze, MD ; Jaïs, Pierre, MD ; Schlaepfer, Jürg, MD ; Bongard, Vanina, MD ; Carrié, Didier, MD ; Galinier, Michel, MD ; Pruvot, Etienne, MD ; Lellouche, Nicolas, MD ; Haïssaguerre, Michel, MD ; Maury, Philippe, MD</creator><creatorcontrib>Sadron Blaye-Felice, Marie, MD ; Hamon, David, MD ; Sacher, Frédéric, MD ; Pascale, Patrizio, MD ; Rollin, Anne, MD ; Duparc, Alexandre, MD ; Mondoly, Pierre, MD ; Derval, Nicolas, MD ; Denis, Arnaud, MD ; Cardin, Christelle, MD ; Hocini, Mélèze, MD ; Jaïs, Pierre, MD ; Schlaepfer, Jürg, MD ; Bongard, Vanina, MD ; Carrié, Didier, MD ; Galinier, Michel, MD ; Pruvot, Etienne, MD ; Lellouche, Nicolas, MD ; Haïssaguerre, Michel, MD ; Maury, Philippe, MD</creatorcontrib><description>Background Factors associated with premature ventricular contraction-induced cardiomyopathy (PVCi-CMP) remain debated. Objective The purpose of this study was to test the correlation of various factors to the presence PVCi-CMP in a large multicenter population. Methods One hundred sixty-eight consecutive patients referred for ablation of frequent premature ventricular contractions (PVCs) were included. Patients were divided into 2 groups: group 1 with suspected PVCi-CMP (96 patients, ejection fraction 38% ± 10%, left ventricular end-diastolic diameter 62 ± 8 mm, with or without additional structural heart disease); and group 2 (control group, 72 patients with normal ejection fraction and left ventricular dimensions). Various clinical and electrophysiologic parameters were compared between groups. Results In univariate analysis, left ventricular origin of PVC, lack of palpitations, long PVC coupling interval, epicardial origin of the focus, long sinus beat QRS duration, male gender, high PVC burden, presence of polymorphic PVCs, high PVC QRS duration, and older age were significantly related to the presence of PVCi-CMP. In multivariate analysis, only lack of palpitations, PVC burden, and epicardial origin remained significantly and independently correlated with the presence of cardiomyopathy. Even if sinus QRS duration or PVC left ventricular origin were also found independently linked to PVCi-CMP in the whole population, they were no longer correlated when patients with additional heart disease were excluded. Conclusion Lack of palpitations, PVC burden, and epicardial origin are independent factors that identify patients prone to developing PVCi-CMP.</description><identifier>ISSN: 1547-5271</identifier><identifier>EISSN: 1556-3871</identifier><identifier>DOI: 10.1016/j.hrthm.2015.08.025</identifier><identifier>PMID: 26296327</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Cardiomyopathies - diagnosis ; Cardiomyopathies - etiology ; Cardiomyopathies - physiopathology ; Cardiomyopathies - prevention & control ; Cardiomyopathy ; Cardiovascular ; Catheter Ablation - methods ; Electrophysiologic Techniques, Cardiac - methods ; Female ; Humans ; Male ; Middle Aged ; Premature ventricular contraction ; Radiofrequency ablation ; Retrospective Studies ; Statistics as Topic ; Stroke Volume ; Tachycardia-induced cardiomyopathy ; Ventricular Premature Complexes - complications ; Ventricular Premature Complexes - diagnosis ; Ventricular Premature Complexes - physiopathology ; Ventricular Premature Complexes - surgery</subject><ispartof>Heart rhythm, 2016, Vol.13 (1), p.103-110</ispartof><rights>Heart Rhythm Society</rights><rights>2016 Heart Rhythm Society</rights><rights>Copyright © 2016 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-3301101f46713181c8acfdab876e362cdf50f1169307725da518df19c9b371db3</citedby><cites>FETCH-LOGICAL-c459t-3301101f46713181c8acfdab876e362cdf50f1169307725da518df19c9b371db3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1547527115010760$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26296327$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sadron Blaye-Felice, Marie, MD</creatorcontrib><creatorcontrib>Hamon, David, MD</creatorcontrib><creatorcontrib>Sacher, Frédéric, MD</creatorcontrib><creatorcontrib>Pascale, Patrizio, MD</creatorcontrib><creatorcontrib>Rollin, Anne, MD</creatorcontrib><creatorcontrib>Duparc, Alexandre, MD</creatorcontrib><creatorcontrib>Mondoly, Pierre, MD</creatorcontrib><creatorcontrib>Derval, Nicolas, MD</creatorcontrib><creatorcontrib>Denis, Arnaud, MD</creatorcontrib><creatorcontrib>Cardin, Christelle, MD</creatorcontrib><creatorcontrib>Hocini, Mélèze, MD</creatorcontrib><creatorcontrib>Jaïs, Pierre, MD</creatorcontrib><creatorcontrib>Schlaepfer, Jürg, MD</creatorcontrib><creatorcontrib>Bongard, Vanina, MD</creatorcontrib><creatorcontrib>Carrié, Didier, MD</creatorcontrib><creatorcontrib>Galinier, Michel, MD</creatorcontrib><creatorcontrib>Pruvot, Etienne, MD</creatorcontrib><creatorcontrib>Lellouche, Nicolas, MD</creatorcontrib><creatorcontrib>Haïssaguerre, Michel, MD</creatorcontrib><creatorcontrib>Maury, Philippe, MD</creatorcontrib><title>Premature ventricular contraction-induced cardiomyopathy: Related clinical and electrophysiologic parameters</title><title>Heart rhythm</title><addtitle>Heart Rhythm</addtitle><description>Background Factors associated with premature ventricular contraction-induced cardiomyopathy (PVCi-CMP) remain debated. Objective The purpose of this study was to test the correlation of various factors to the presence PVCi-CMP in a large multicenter population. Methods One hundred sixty-eight consecutive patients referred for ablation of frequent premature ventricular contractions (PVCs) were included. Patients were divided into 2 groups: group 1 with suspected PVCi-CMP (96 patients, ejection fraction 38% ± 10%, left ventricular end-diastolic diameter 62 ± 8 mm, with or without additional structural heart disease); and group 2 (control group, 72 patients with normal ejection fraction and left ventricular dimensions). Various clinical and electrophysiologic parameters were compared between groups. Results In univariate analysis, left ventricular origin of PVC, lack of palpitations, long PVC coupling interval, epicardial origin of the focus, long sinus beat QRS duration, male gender, high PVC burden, presence of polymorphic PVCs, high PVC QRS duration, and older age were significantly related to the presence of PVCi-CMP. In multivariate analysis, only lack of palpitations, PVC burden, and epicardial origin remained significantly and independently correlated with the presence of cardiomyopathy. Even if sinus QRS duration or PVC left ventricular origin were also found independently linked to PVCi-CMP in the whole population, they were no longer correlated when patients with additional heart disease were excluded. Conclusion Lack of palpitations, PVC burden, and epicardial origin are independent factors that identify patients prone to developing PVCi-CMP.</description><subject>Adult</subject><subject>Aged</subject><subject>Cardiomyopathies - diagnosis</subject><subject>Cardiomyopathies - etiology</subject><subject>Cardiomyopathies - physiopathology</subject><subject>Cardiomyopathies - prevention & control</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular</subject><subject>Catheter Ablation - methods</subject><subject>Electrophysiologic Techniques, Cardiac - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Premature ventricular contraction</subject><subject>Radiofrequency ablation</subject><subject>Retrospective Studies</subject><subject>Statistics as Topic</subject><subject>Stroke Volume</subject><subject>Tachycardia-induced cardiomyopathy</subject><subject>Ventricular Premature Complexes - complications</subject><subject>Ventricular Premature Complexes - diagnosis</subject><subject>Ventricular Premature Complexes - physiopathology</subject><subject>Ventricular Premature Complexes - surgery</subject><issn>1547-5271</issn><issn>1556-3871</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc2L1TAUxYMozof-BYJ06aY1N3lpWkFBBh2FAcWPdchLbn15pk1N0oH-96a-GRduXOUQzrmX-zuEPAPaAIX25bE5xHwYG0ZBNLRrKBMPyDkI0da8k_Bw0ztZCybhjFykdKSU9S3lj8kZa4viTJ4T_zniqPMSsbrFKUdnFq9jZULR2mQXptpNdjFoK6OjdWFcw6zzYX1VfUGv8_bv3eSM9pWebIUeTY5hPqzJBR9-OFPNOuoRM8b0hDwatE_49O69JN_fv_t29aG--XT98ertTW12os815xTKhcOulcChA9NpM1i972SLvGXGDoIOAG3PqZRMWC2gswP0pt9zCXbPL8mL09w5hl8LpqxGlwx6rycMS1IgRVnBSr5Y-clqYkgp4qDm6EYdVwVUbZjVUf3BrDbMinaqYC6p53cLlv2I9m_mnmsxvD4ZsJx56zCqZBxOBaOLBZCywf1nwZt_8veUf-KK6RiWOBWCClRiiqqvW9Nb0SAoUFlK_g0v8KaP</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Sadron Blaye-Felice, Marie, MD</creator><creator>Hamon, David, MD</creator><creator>Sacher, Frédéric, MD</creator><creator>Pascale, Patrizio, MD</creator><creator>Rollin, Anne, MD</creator><creator>Duparc, Alexandre, MD</creator><creator>Mondoly, Pierre, MD</creator><creator>Derval, Nicolas, MD</creator><creator>Denis, Arnaud, MD</creator><creator>Cardin, Christelle, MD</creator><creator>Hocini, Mélèze, MD</creator><creator>Jaïs, Pierre, MD</creator><creator>Schlaepfer, Jürg, MD</creator><creator>Bongard, Vanina, MD</creator><creator>Carrié, Didier, MD</creator><creator>Galinier, Michel, MD</creator><creator>Pruvot, Etienne, MD</creator><creator>Lellouche, Nicolas, MD</creator><creator>Haïssaguerre, Michel, MD</creator><creator>Maury, Philippe, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2016</creationdate><title>Premature ventricular contraction-induced cardiomyopathy: Related clinical and electrophysiologic parameters</title><author>Sadron Blaye-Felice, Marie, MD ; Hamon, David, MD ; Sacher, Frédéric, MD ; Pascale, Patrizio, MD ; Rollin, Anne, MD ; Duparc, Alexandre, MD ; Mondoly, Pierre, MD ; Derval, Nicolas, MD ; Denis, Arnaud, MD ; Cardin, Christelle, MD ; Hocini, Mélèze, MD ; Jaïs, Pierre, MD ; Schlaepfer, Jürg, MD ; Bongard, Vanina, MD ; Carrié, Didier, MD ; Galinier, Michel, MD ; Pruvot, Etienne, MD ; Lellouche, Nicolas, MD ; Haïssaguerre, Michel, MD ; Maury, Philippe, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-3301101f46713181c8acfdab876e362cdf50f1169307725da518df19c9b371db3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cardiomyopathies - diagnosis</topic><topic>Cardiomyopathies - etiology</topic><topic>Cardiomyopathies - physiopathology</topic><topic>Cardiomyopathies - prevention & control</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular</topic><topic>Catheter Ablation - methods</topic><topic>Electrophysiologic Techniques, Cardiac - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Premature ventricular contraction</topic><topic>Radiofrequency ablation</topic><topic>Retrospective Studies</topic><topic>Statistics as Topic</topic><topic>Stroke Volume</topic><topic>Tachycardia-induced cardiomyopathy</topic><topic>Ventricular Premature Complexes - complications</topic><topic>Ventricular Premature Complexes - diagnosis</topic><topic>Ventricular Premature Complexes - physiopathology</topic><topic>Ventricular Premature Complexes - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sadron Blaye-Felice, Marie, MD</creatorcontrib><creatorcontrib>Hamon, David, MD</creatorcontrib><creatorcontrib>Sacher, Frédéric, MD</creatorcontrib><creatorcontrib>Pascale, Patrizio, MD</creatorcontrib><creatorcontrib>Rollin, Anne, MD</creatorcontrib><creatorcontrib>Duparc, Alexandre, MD</creatorcontrib><creatorcontrib>Mondoly, Pierre, MD</creatorcontrib><creatorcontrib>Derval, Nicolas, MD</creatorcontrib><creatorcontrib>Denis, Arnaud, MD</creatorcontrib><creatorcontrib>Cardin, Christelle, MD</creatorcontrib><creatorcontrib>Hocini, Mélèze, MD</creatorcontrib><creatorcontrib>Jaïs, Pierre, MD</creatorcontrib><creatorcontrib>Schlaepfer, Jürg, MD</creatorcontrib><creatorcontrib>Bongard, Vanina, MD</creatorcontrib><creatorcontrib>Carrié, Didier, MD</creatorcontrib><creatorcontrib>Galinier, Michel, MD</creatorcontrib><creatorcontrib>Pruvot, Etienne, MD</creatorcontrib><creatorcontrib>Lellouche, Nicolas, MD</creatorcontrib><creatorcontrib>Haïssaguerre, Michel, MD</creatorcontrib><creatorcontrib>Maury, Philippe, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Heart rhythm</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sadron Blaye-Felice, Marie, MD</au><au>Hamon, David, MD</au><au>Sacher, Frédéric, MD</au><au>Pascale, Patrizio, MD</au><au>Rollin, Anne, MD</au><au>Duparc, Alexandre, MD</au><au>Mondoly, Pierre, MD</au><au>Derval, Nicolas, MD</au><au>Denis, Arnaud, MD</au><au>Cardin, Christelle, MD</au><au>Hocini, Mélèze, MD</au><au>Jaïs, Pierre, MD</au><au>Schlaepfer, Jürg, MD</au><au>Bongard, Vanina, MD</au><au>Carrié, Didier, MD</au><au>Galinier, Michel, MD</au><au>Pruvot, Etienne, MD</au><au>Lellouche, Nicolas, MD</au><au>Haïssaguerre, Michel, MD</au><au>Maury, Philippe, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Premature ventricular contraction-induced cardiomyopathy: Related clinical and electrophysiologic parameters</atitle><jtitle>Heart rhythm</jtitle><addtitle>Heart Rhythm</addtitle><date>2016</date><risdate>2016</risdate><volume>13</volume><issue>1</issue><spage>103</spage><epage>110</epage><pages>103-110</pages><issn>1547-5271</issn><eissn>1556-3871</eissn><abstract>Background Factors associated with premature ventricular contraction-induced cardiomyopathy (PVCi-CMP) remain debated. Objective The purpose of this study was to test the correlation of various factors to the presence PVCi-CMP in a large multicenter population. Methods One hundred sixty-eight consecutive patients referred for ablation of frequent premature ventricular contractions (PVCs) were included. Patients were divided into 2 groups: group 1 with suspected PVCi-CMP (96 patients, ejection fraction 38% ± 10%, left ventricular end-diastolic diameter 62 ± 8 mm, with or without additional structural heart disease); and group 2 (control group, 72 patients with normal ejection fraction and left ventricular dimensions). Various clinical and electrophysiologic parameters were compared between groups. Results In univariate analysis, left ventricular origin of PVC, lack of palpitations, long PVC coupling interval, epicardial origin of the focus, long sinus beat QRS duration, male gender, high PVC burden, presence of polymorphic PVCs, high PVC QRS duration, and older age were significantly related to the presence of PVCi-CMP. In multivariate analysis, only lack of palpitations, PVC burden, and epicardial origin remained significantly and independently correlated with the presence of cardiomyopathy. Even if sinus QRS duration or PVC left ventricular origin were also found independently linked to PVCi-CMP in the whole population, they were no longer correlated when patients with additional heart disease were excluded. Conclusion Lack of palpitations, PVC burden, and epicardial origin are independent factors that identify patients prone to developing PVCi-CMP.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26296327</pmid><doi>10.1016/j.hrthm.2015.08.025</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Cardiomyopathies - diagnosis Cardiomyopathies - etiology Cardiomyopathies - physiopathology Cardiomyopathies - prevention & control Cardiomyopathy Cardiovascular Catheter Ablation - methods Electrophysiologic Techniques, Cardiac - methods Female Humans Male Middle Aged Premature ventricular contraction Radiofrequency ablation Retrospective Studies Statistics as Topic Stroke Volume Tachycardia-induced cardiomyopathy Ventricular Premature Complexes - complications Ventricular Premature Complexes - diagnosis Ventricular Premature Complexes - physiopathology Ventricular Premature Complexes - surgery |
| title | Premature ventricular contraction-induced cardiomyopathy: Related clinical and electrophysiologic parameters |
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