Skip Navigation

European Heart Journal 1988 9(11):1181-1187;
Copyright © 1988 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by JUUL-MöLLER, S.
Right arrow Articles by JOHANSSON, B. W.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by JUUL-MöLLER, S.
Right arrow Articles by JOHANSSON, B. W.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1988 The European Society of Cardiology

Ventricular arrhythmias and left ventricular function: one-year follow-up after myocardial infarction

S. JUUL-MöLLER*,, B. LILJA{dagger} and B. W. JOHANSSON*

*Departments of Medicine (Heart Section),Lund University, Malmö General Hospital Malmö, Sweden
{dagger}Clinical Physiology,Lund University, Malmö General Hospital Malmö, Sweden

Received 19 May 1987; revised 28 March 1988; .

Steen Juul-Möller, M.D. Heart Section Department of Medicine, Malmö General Hospital, S-21401 Malmö, Sweden.

Abstract

One hundred and one consecutive post-myocardial infarction (MI) patients were investigated with 24-h long-term ECG registration (LTER), exercise test and radionuclide angiocardiography (RNA) within one month of the MI and after six and 12 months. Patients with low left ventricular ejection fraction (LVEF) or a high value in a quantified phase analysis (Phase SD) were found to have frequent ventricular arrhythmia and high Lown class. Significant correlations between LVEF or phase SD and the number of ventricular arrhythmias or Lown class were found (P > 0.05). Frequent ventricular arrhythmias and high Lown class were also found in patients with inverse left ventricular wall movement at RNA. Prolonged QTc was found in patients with frequent ventricular arrhythmias. These connections were found at all three investigations during the follow-up year. A significant correlation was not observed between ventricular arrhythmias and exercise capacity, NYHA grouping, ST depression in an exercise test or symptoms of angina pectoris. More than 300 ventricular premature complexes ( VPC) per 24 h was found to predict death during the follow-up year as was LVEF ≤30%; complex arrhythmia (i.e., the patient being in Lown classes 3–5) being the only factor to predict repeat-MI during the follow-up year.

It is concluded, that ventricular arrhythmias in the post-MI patient reflect the left ventricular performance. Both LVEF and arrhythmias contribute univariately to the risk of death during the first year after an MI. Whether they both carry independent prognostic information for death must be studied in future larger trials.

Key Words: Arrhythmias, • myocardial infarction, • radionuclide angiocardiography, • prognosis, • left ventricular ejection fraction, • phase analysis.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Eur Heart JHome page
F. Brigadeau, C. Kouakam, D. Klug, C. Marquie, A. Duhamel, F. Mizon-Gerard, D. Lacroix, and S. Kacet
Clinical predictors and prognostic significance of electrical storm in patients with implantable cardioverter defibrillators
Eur. Heart J., March 2, 2006; 27(6): 700 - 707.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
J P Bourke, A Loaiza, G Parry, C Hilton, S Furniss, J Dark, and J Forty
Role of orthotopic heart transplantation in the management of patients with recurrent ventricular tachyarrhythmias following myocardial infarction
Heart, November 1, 1998; 80(5): 473 - 478.
[Abstract] [Full Text]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.