Clinical significance of rapid ventricular tachycardia (> 270 beats per minute) provoked at programmed stimulation in patients without confirmed rapid ventricular arrhythmias
Rapid uniform ventricular tachycardia (VT) (> 270 beats/min) or ventricular flutter induced during electrophysiological studies is thought not to be clinically significant in patients without cardiac arrest or documented rapid VT. The purpose of the study was to follow up 73 patients with inducib...
Gespeichert in:
| Veröffentlicht in: | British Heart Journal 1993-01, Vol.69 (1), p.20-25 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 25 |
|---|---|
| container_issue | 1 |
| container_start_page | 20 |
| container_title | British Heart Journal |
| container_volume | 69 |
| creator | Brembilla-Perrot, B Terrier de la Chaise, A Briançon, S Takoordial, M Suty-Selton, C Thiel, B Brua, J L |
| description | Rapid uniform ventricular tachycardia (VT) (> 270 beats/min) or ventricular flutter induced during electrophysiological studies is thought not to be clinically significant in patients without cardiac arrest or documented rapid VT. The purpose of the study was to follow up 73 patients with inducible ventricular flutter but without confirmed rapid spontaneous VT. A long follow up (mean 3.5 years) identified two groups of patients. The first group had an excellent outcome and was characterised by a normal 24 hour Holter monitoring. In the second group, however, the risk of cardiac mortality was high (35%) and spontaneous VT was < 270 beats/min (26%) and was characterised by couplets or salvos of extrasystoles on Holter monitoring. In this group the history of syncope and decreased left ejection fraction increased the risk of mortality and VT. The presence of late potentials increased the risk of spontaneous VT. Electrophysiologically guided antiarrhythmic therapy reduced the risk of VT. Ventricular flutter was a non-specific finding in patients with normal Holter monitoring. In contrast, in patients with salvos of extrasystoles, ventricular flutter was associated with a high risk of cardiac mortality and VT. |
| doi_str_mv | 10.1136/hrt.69.1.20 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1024910</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3970064841</sourcerecordid><originalsourceid>FETCH-LOGICAL-b502t-694d29c38a564638c97a08b5d32e9241d85722a81946bf09f819042d02243ddc3</originalsourceid><addsrcrecordid>eNp9kl2L1DAUhoso67h65bUQcBFFOiZpm4-bBR10FRfdC5W9C2maTjPbJjVJR-dP-RtNmWH8Aq9yDufhPe_JOVn2EMElQgV50fm4JHyJlhjeyhaoJCzHEF3fzhYQQppDSvjd7F4Im5SWnJGT7ISVFS0YW2Q_Vr2xRskeBLO2pk2hVRq4Fng5mgZstY3eqKmXHkSpup2SvjESPD0HmEJQaxkDGLUHg7FT1M_A6N3W3egGyDjHay-HIWUhmiGJROMsMBaMKUrKAXwzsXNTBMrZ1viZ_Lev9L7bxW4wMtzP7rSyD_rB4T3NPr95_Wn1Nr_8ePFu9fIyryuIY0542WCuCiYrUpKCKU4lZHXVFFhzXKKGVRRjyRAvSd1C3qYIlriBGJdF06jiNDvf645TnUyp2Y3sxejNIP1OOGnEnxVrOrF2W4EgLjmCSeDJQcC7r5MOUQwmKN330mo3BUFnYxVnCXz8F7hxk7dpOIEohZAwxGiinu8p5V0IXrdHKwiK-QhEOgJBuEACz80f_e7-yB62nupnh7oMafWtTzs34YiVBM__kbB8j5kQ9fdjWfobQWhBK_Hhy0q8eo-uLxC8Ele_Zq6HzX_9_QT319lo</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1770068187</pqid></control><display><type>article</type><title>Clinical significance of rapid ventricular tachycardia (> 270 beats per minute) provoked at programmed stimulation in patients without confirmed rapid ventricular arrhythmias</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Brembilla-Perrot, B ; Terrier de la Chaise, A ; Briançon, S ; Takoordial, M ; Suty-Selton, C ; Thiel, B ; Brua, J L</creator><creatorcontrib>Brembilla-Perrot, B ; Terrier de la Chaise, A ; Briançon, S ; Takoordial, M ; Suty-Selton, C ; Thiel, B ; Brua, J L</creatorcontrib><description>Rapid uniform ventricular tachycardia (VT) (> 270 beats/min) or ventricular flutter induced during electrophysiological studies is thought not to be clinically significant in patients without cardiac arrest or documented rapid VT. The purpose of the study was to follow up 73 patients with inducible ventricular flutter but without confirmed rapid spontaneous VT. A long follow up (mean 3.5 years) identified two groups of patients. The first group had an excellent outcome and was characterised by a normal 24 hour Holter monitoring. In the second group, however, the risk of cardiac mortality was high (35%) and spontaneous VT was < 270 beats/min (26%) and was characterised by couplets or salvos of extrasystoles on Holter monitoring. In this group the history of syncope and decreased left ejection fraction increased the risk of mortality and VT. The presence of late potentials increased the risk of spontaneous VT. Electrophysiologically guided antiarrhythmic therapy reduced the risk of VT. Ventricular flutter was a non-specific finding in patients with normal Holter monitoring. In contrast, in patients with salvos of extrasystoles, ventricular flutter was associated with a high risk of cardiac mortality and VT.</description><identifier>ISSN: 0007-0769</identifier><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>EISSN: 2053-5864</identifier><identifier>DOI: 10.1136/hrt.69.1.20</identifier><identifier>PMID: 8457388</identifier><identifier>CODEN: BHJUAV</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>Adult ; Aged ; Arrhythmias, Cardiac - mortality ; Arrhythmias, Cardiac - physiopathology ; Biological and medical sciences ; Cardiac dysrhythmias ; Cardiology. Vascular system ; Cause of Death ; Electrocardiography - mortality ; Follow-Up Studies ; Heart ; Humans ; Medical sciences ; Middle Aged ; Tachycardia, Ventricular - mortality ; Tachycardia, Ventricular - physiopathology ; Ventricular Function</subject><ispartof>British Heart Journal, 1993-01, Vol.69 (1), p.20-25</ispartof><rights>1993 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD Jan 1993</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b502t-694d29c38a564638c97a08b5d32e9241d85722a81946bf09f819042d02243ddc3</citedby><cites>FETCH-LOGICAL-b502t-694d29c38a564638c97a08b5d32e9241d85722a81946bf09f819042d02243ddc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1024910/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1024910/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,4023,27922,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4628190$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8457388$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brembilla-Perrot, B</creatorcontrib><creatorcontrib>Terrier de la Chaise, A</creatorcontrib><creatorcontrib>Briançon, S</creatorcontrib><creatorcontrib>Takoordial, M</creatorcontrib><creatorcontrib>Suty-Selton, C</creatorcontrib><creatorcontrib>Thiel, B</creatorcontrib><creatorcontrib>Brua, J L</creatorcontrib><title>Clinical significance of rapid ventricular tachycardia (> 270 beats per minute) provoked at programmed stimulation in patients without confirmed rapid ventricular arrhythmias</title><title>British Heart Journal</title><addtitle>Br Heart J</addtitle><description>Rapid uniform ventricular tachycardia (VT) (> 270 beats/min) or ventricular flutter induced during electrophysiological studies is thought not to be clinically significant in patients without cardiac arrest or documented rapid VT. The purpose of the study was to follow up 73 patients with inducible ventricular flutter but without confirmed rapid spontaneous VT. A long follow up (mean 3.5 years) identified two groups of patients. The first group had an excellent outcome and was characterised by a normal 24 hour Holter monitoring. In the second group, however, the risk of cardiac mortality was high (35%) and spontaneous VT was < 270 beats/min (26%) and was characterised by couplets or salvos of extrasystoles on Holter monitoring. In this group the history of syncope and decreased left ejection fraction increased the risk of mortality and VT. The presence of late potentials increased the risk of spontaneous VT. Electrophysiologically guided antiarrhythmic therapy reduced the risk of VT. Ventricular flutter was a non-specific finding in patients with normal Holter monitoring. In contrast, in patients with salvos of extrasystoles, ventricular flutter was associated with a high risk of cardiac mortality and VT.</description><subject>Adult</subject><subject>Aged</subject><subject>Arrhythmias, Cardiac - mortality</subject><subject>Arrhythmias, Cardiac - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Cause of Death</subject><subject>Electrocardiography - mortality</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Tachycardia, Ventricular - mortality</subject><subject>Tachycardia, Ventricular - physiopathology</subject><subject>Ventricular Function</subject><issn>0007-0769</issn><issn>1355-6037</issn><issn>1468-201X</issn><issn>2053-5864</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kl2L1DAUhoso67h65bUQcBFFOiZpm4-bBR10FRfdC5W9C2maTjPbJjVJR-dP-RtNmWH8Aq9yDufhPe_JOVn2EMElQgV50fm4JHyJlhjeyhaoJCzHEF3fzhYQQppDSvjd7F4Im5SWnJGT7ISVFS0YW2Q_Vr2xRskeBLO2pk2hVRq4Fng5mgZstY3eqKmXHkSpup2SvjESPD0HmEJQaxkDGLUHg7FT1M_A6N3W3egGyDjHay-HIWUhmiGJROMsMBaMKUrKAXwzsXNTBMrZ1viZ_Lev9L7bxW4wMtzP7rSyD_rB4T3NPr95_Wn1Nr_8ePFu9fIyryuIY0542WCuCiYrUpKCKU4lZHXVFFhzXKKGVRRjyRAvSd1C3qYIlriBGJdF06jiNDvf645TnUyp2Y3sxejNIP1OOGnEnxVrOrF2W4EgLjmCSeDJQcC7r5MOUQwmKN330mo3BUFnYxVnCXz8F7hxk7dpOIEohZAwxGiinu8p5V0IXrdHKwiK-QhEOgJBuEACz80f_e7-yB62nupnh7oMafWtTzs34YiVBM__kbB8j5kQ9fdjWfobQWhBK_Hhy0q8eo-uLxC8Ele_Zq6HzX_9_QT319lo</recordid><startdate>199301</startdate><enddate>199301</enddate><creator>Brembilla-Perrot, B</creator><creator>Terrier de la Chaise, A</creator><creator>Briançon, S</creator><creator>Takoordial, M</creator><creator>Suty-Selton, C</creator><creator>Thiel, B</creator><creator>Brua, J L</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>199301</creationdate><title>Clinical significance of rapid ventricular tachycardia (> 270 beats per minute) provoked at programmed stimulation in patients without confirmed rapid ventricular arrhythmias</title><author>Brembilla-Perrot, B ; Terrier de la Chaise, A ; Briançon, S ; Takoordial, M ; Suty-Selton, C ; Thiel, B ; Brua, J L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b502t-694d29c38a564638c97a08b5d32e9241d85722a81946bf09f819042d02243ddc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arrhythmias, Cardiac - mortality</topic><topic>Arrhythmias, Cardiac - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Cause of Death</topic><topic>Electrocardiography - mortality</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Tachycardia, Ventricular - mortality</topic><topic>Tachycardia, Ventricular - physiopathology</topic><topic>Ventricular Function</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brembilla-Perrot, B</creatorcontrib><creatorcontrib>Terrier de la Chaise, A</creatorcontrib><creatorcontrib>Briançon, S</creatorcontrib><creatorcontrib>Takoordial, M</creatorcontrib><creatorcontrib>Suty-Selton, C</creatorcontrib><creatorcontrib>Thiel, B</creatorcontrib><creatorcontrib>Brua, J L</creatorcontrib><collection>Istex</collection><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>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British Heart Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brembilla-Perrot, B</au><au>Terrier de la Chaise, A</au><au>Briançon, S</au><au>Takoordial, M</au><au>Suty-Selton, C</au><au>Thiel, B</au><au>Brua, J L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical significance of rapid ventricular tachycardia (> 270 beats per minute) provoked at programmed stimulation in patients without confirmed rapid ventricular arrhythmias</atitle><jtitle>British Heart Journal</jtitle><addtitle>Br Heart J</addtitle><date>1993-01</date><risdate>1993</risdate><volume>69</volume><issue>1</issue><spage>20</spage><epage>25</epage><pages>20-25</pages><issn>0007-0769</issn><issn>1355-6037</issn><eissn>1468-201X</eissn><eissn>2053-5864</eissn><coden>BHJUAV</coden><abstract>Rapid uniform ventricular tachycardia (VT) (> 270 beats/min) or ventricular flutter induced during electrophysiological studies is thought not to be clinically significant in patients without cardiac arrest or documented rapid VT. The purpose of the study was to follow up 73 patients with inducible ventricular flutter but without confirmed rapid spontaneous VT. A long follow up (mean 3.5 years) identified two groups of patients. The first group had an excellent outcome and was characterised by a normal 24 hour Holter monitoring. In the second group, however, the risk of cardiac mortality was high (35%) and spontaneous VT was < 270 beats/min (26%) and was characterised by couplets or salvos of extrasystoles on Holter monitoring. In this group the history of syncope and decreased left ejection fraction increased the risk of mortality and VT. The presence of late potentials increased the risk of spontaneous VT. Electrophysiologically guided antiarrhythmic therapy reduced the risk of VT. Ventricular flutter was a non-specific finding in patients with normal Holter monitoring. In contrast, in patients with salvos of extrasystoles, ventricular flutter was associated with a high risk of cardiac mortality and VT.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>8457388</pmid><doi>10.1136/hrt.69.1.20</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0007-0769 |
| ispartof | British Heart Journal, 1993-01, Vol.69 (1), p.20-25 |
| issn | 0007-0769 1355-6037 1468-201X 2053-5864 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1024910 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adult Aged Arrhythmias, Cardiac - mortality Arrhythmias, Cardiac - physiopathology Biological and medical sciences Cardiac dysrhythmias Cardiology. Vascular system Cause of Death Electrocardiography - mortality Follow-Up Studies Heart Humans Medical sciences Middle Aged Tachycardia, Ventricular - mortality Tachycardia, Ventricular - physiopathology Ventricular Function |
| title | Clinical significance of rapid ventricular tachycardia (> 270 beats per minute) provoked at programmed stimulation in patients without confirmed rapid ventricular arrhythmias |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T17%3A45%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Clinical%20significance%20of%20rapid%20ventricular%20tachycardia%20(%3E%20270%20beats%20per%20minute)%20provoked%20at%20programmed%20stimulation%20in%20patients%20without%20confirmed%20rapid%20ventricular%20arrhythmias&rft.jtitle=British%20Heart%20Journal&rft.au=Brembilla-Perrot,%20B&rft.date=1993-01&rft.volume=69&rft.issue=1&rft.spage=20&rft.epage=25&rft.pages=20-25&rft.issn=0007-0769&rft.eissn=1468-201X&rft.coden=BHJUAV&rft_id=info:doi/10.1136/hrt.69.1.20&rft_dat=%3Cproquest_pubme%3E3970064841%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1770068187&rft_id=info:pmid/8457388&rfr_iscdi=true |