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European Heart Journal 1988 9(11):1175-1180;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Book Review

M. DLUZNIEWSKI, P. KULAKOWSKI, M. SENATORSKI and L. CEREMUZYNSKI

Medical Centre of Postgraduate Education, II Department of Cardiology, Grochowski Hospital Warsaw,Poland

Received 29 October 1987; revised 27 April 1988; .

Miroslaw DluZniewski, M.D., Medical Centre of Postgraduate Education, II Department of Cardiology, Grochowski Hospital, Grenadierów 51/59, 04–079 Warszawa, Poland.

Abstract

Late potentials occurring at the end of or after the QRS complex were recorded from the body surface by means of a high-gain ECG and the signal-averaging technique in 75 patients, within 24 h from the onset of symptoms of acute myocardial infarction. Late potentials were found in 20 patients (26.7%). Out of this group, eight (40%) developed ventricular fibrillation. There was only one incident of ventricular fibrillation among 55 patients without late potentials (1.8%, P >0.001). The three-month mortality after myocardial infarction was slightly higher in individuals with late potentials: 15% vs. 11.5%, but this difference was not statistically significant.

We conclude that the presence of late potentials recorded in the acute phase of myocardial infarction indicates a risk of ventricular fibrillation, but this was not associated with an increased mortality rate during the three-month follow-up.

Key Words: Late potentials, • acute myocardial infarction, • ventricular fibrillation.


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