Prognostic assessment of survivors of ventricular tachycardia and ventricular fibrillation with ambulatory monitoring
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 th...
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| Veröffentlicht in: | The American journal of cardiology 1984-07, Vol.54 (1), p.87-90 |
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| container_title | The American journal of cardiology |
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| creator | Vlay, Stephen C. Kallman, Clayton H. Reid, Philip R. |
| description | 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 |
| doi_str_mv | 10.1016/0002-9149(84)90309-6 |
| format | Article |
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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.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/0002-9149(84)90309-6</identifier><identifier>PMID: 6741843</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Ambulatory Care ; Anti-Arrhythmia Agents - therapeutic use ; Biological and medical sciences ; Cardiac dysrhythmias ; Cardiology. 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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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Ambulatory Care</subject><subject>Anti-Arrhythmia Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Tachycardia - drug therapy</subject><subject>Tachycardia - physiopathology</subject><subject>Ventricular Fibrillation - drug therapy</subject><subject>Ventricular Fibrillation - physiopathology</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtr3DAUhUVpSadp_0EKXpTQLtxKY40sbQIh9AWBZpGuhR7XiYItJbrylPn3lTvDQDZd3cc593D5CDlj9DOjTHyhlK5bxbj6KPknRTuqWvGCrJjsVcsU616S1dHymrxBfKgjYxtxQk5Ez5nk3YrMNzndxYQluMYgAuIEsTRpaHDO27BNGZdhW5c5uHk0uSnG3e-cyT6YxkT_TBuCzWEcTQkpNn9CuW_MZKtSUt41U4qhNiHevSWvBjMivDvUU_L729fbqx_t9a_vP68ur1vXSVFavvZKOeh7460djOTSct93Pd_0Zm3BrzvwFuiwAcMpoxvhe0tBMaask5bZ7pSc73Mfc3qaAYueAjqoD0ZIM2pZcTDBRDXyvdHlhJhh0I85TCbvNKN6oa0XlHpBqSXX_2jr5ez9IX-2E_jj0QFv1T8cdIPOjEM20QU82pTopBRLzMXeBpXFNkDW6AJEBz5kcEX7FP7_x18MZZ-d</recordid><startdate>19840701</startdate><enddate>19840701</enddate><creator>Vlay, Stephen C.</creator><creator>Kallman, Clayton H.</creator><creator>Reid, Philip R.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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>19840701</creationdate><title>Prognostic assessment of survivors of ventricular tachycardia and ventricular fibrillation with ambulatory monitoring</title><author>Vlay, Stephen C. ; Kallman, Clayton H. ; Reid, Philip R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-42d99ce77adbbfa848b4d737457a2bed23edbe0f5ea401056d7b0e9119bc8b1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Ambulatory Care</topic><topic>Anti-Arrhythmia Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Tachycardia - drug therapy</topic><topic>Tachycardia - physiopathology</topic><topic>Ventricular Fibrillation - drug therapy</topic><topic>Ventricular Fibrillation - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vlay, Stephen C.</creatorcontrib><creatorcontrib>Kallman, Clayton H.</creatorcontrib><creatorcontrib>Reid, Philip R.</creatorcontrib><collection>Pascal-Francis</collection><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>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vlay, Stephen C.</au><au>Kallman, Clayton H.</au><au>Reid, Philip R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognostic assessment of survivors of ventricular tachycardia and ventricular fibrillation with ambulatory monitoring</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1984-07-01</date><risdate>1984</risdate><volume>54</volume><issue>1</issue><spage>87</spage><epage>90</epage><pages>87-90</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>6741843</pmid><doi>10.1016/0002-9149(84)90309-6</doi><tpages>4</tpages></addata></record> |
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| ispartof | The American journal of cardiology, 1984-07, Vol.54 (1), p.87-90 |
| issn | 0002-9149 1879-1913 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adolescent Adult Aged Ambulatory Care Anti-Arrhythmia Agents - therapeutic use Biological and medical sciences Cardiac dysrhythmias Cardiology. Vascular system Electrocardiography Female Heart Humans Male Medical sciences Middle Aged Prognosis Prospective Studies Tachycardia - drug therapy Tachycardia - physiopathology Ventricular Fibrillation - drug therapy Ventricular Fibrillation - physiopathology |
| title | Prognostic assessment of survivors of ventricular tachycardia and ventricular fibrillation with ambulatory monitoring |
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