Evaluation at patients with ventricular arrhythmias and coronary artery disease of myocardial revascularization effects

التفاصيل البيبلوغرافية
العنوان: Evaluation at patients with ventricular arrhythmias and coronary artery disease of myocardial revascularization effects
المؤلفون: Chiriac, L., Dumitrescu, S., Samoilǎ, M., Cristian, G., Murgu, V., Pinte, F., Mocanu, I., Greere, V., Jurcuţ, C., Ionel Droc, Tintoiu, I., Câmpeanu, A.
المصدر: Europe PubMed Central
Scopus-Elsevier
مصطلحات موضوعية: Adult, Male, Cardiovascular Agents, Coronary Artery Disease, Middle Aged, Cohort Studies, Electrocardiography, Treatment Outcome, Tachycardia, Ventricular, Humans, Female, Stents, Angioplasty, Balloon, Coronary, Coronary Artery Bypass, Aged
الوصف: The aim of this study was to determine the relations between myocardial revascularization therapy--coronary artery bypass graft (CABG) and coronary angioplasty (PTCA)--and ventricular potentially malignant arrhythmia (VPMA) (coupled VPC, VPC10/hour, NSVT--Morganroth classification), in patients (pts) with stable CAD.765 patients with stable angina and ventricular potentially malignant arrhythmia were evaluated angiochoronarographically, echographically, by programmed electrical stimulation (PES), standard ECG, Holter ECG, radiologically, and by stress test. From 765 patients with CAD and VPMA 169 pts. (22.9% of cases) were revascularized, 77 pts. (10.06% of cases) by CABG surgery and 82 pts. (10.71% of cases) by PTCA with or without stenting.From pts. with inducible sustained ventricular tachycardia by programmed electrical stimulation PES + (129 pts. 16.86% of cases), 19 pts. (2.5% of cases) were with CABG vs 9 pts. (1.17% of cases) with PTCA (p0.05). In 333 pts. with arrhythmogenic myocardic ischemia detected by Holter ECG/24 hours (Holter +) the distribution of myocardial revascularization was similar (40 pts., 5.22% of cases with CABG vs 46 pts., 6.01% of cases with PTCA) (p0.05). The study included 225 pts. with positive stress test, 45 pts. were revascularized, 18 pts. (2.35% of cases) with CABG and 27 pts. (3.52% of cases) with PTCA (p0.05). Revascularized pts. represent an increased percent with prior myocardial infarction in the subgroup with CABG vs. PTCA (39% of cases, p0.05 vs. 25% of cases, p0.05). Revascularized pts. presented similar distributions of VPMA in subgroups with CABG and PTCA.VPMA was not influenced by myocardial revascularization, CABG or PTCA, the incidence being similar (50.94% vs 47.2%; p0.05) with pts. drug treated.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=pmid_dedup__::db08b105b23d8997325bf8ccb843c15e
http://europepmc.org/abstract/med/21180240
رقم الأكسشن: edsair.pmid.dedup....db08b105b23d8997325bf8ccb843c15e
قاعدة البيانات: OpenAIRE