Abstract:
:To assess whether additional aneurysmectomy and/or bypass grafting influence prognosis we studied 97 patients with recurrent sustained monomorphic ventricular tachycardia after an old myocardial infarction. All patients underwent subendocardial resection due to drug-refractory ventricular tachycardia. There were 41 patients who had resection alone, 27 patients had resection and aneurysmectomy, 13 patients had resection and bypass grafting and the remaining 16 patients had resection with both, aneurysmectomy and bypass grafting. During the mean follow-up of 40 +/- 27 months 29 patients died (30%) (total mortality), 7 patients suddenly (7%) and 20 patients from cardiac causes (20%). There were no significant differences in total mortality between patients with resection alone (32%), patients with resection and aneurysmectomy (22%), patients with resection and bypass grafting (31%) and patients who had resection, aneurysmectomy and bypass grafting (38%). In addition, no significant differences were observed in the incidence of sudden death and nonfatal recurrences between patients with resection alone: sudden death 12%, recurrences 7%; patients with resection and aneurysmectomy: sudden death 0%, recurrences 19%; patients with resection and bypass grafting: sudden death 0%, recurrences 8%; and patients with resection, aneurysmectomy and bypass grafting: sudden death 13%, recurrences 0%. Postoperatively, left ventricular function improved in 56% of patients who had resection and aneurysmectomy compared to 17% of patients with resection alone, 31% of patients with resection and bypass grafting and 19% of patients who had resection, aneurysmectomy and bypass grafting. There is a low risk of sudden death and nonfatal recurrences after subendocardial resection. An influence of additional surgical approaches (aneurysmectomy or bypass grafting) on prognosis is not visible.
journal_name
Int J Cardioljournal_title
International journal of cardiologyauthors
Trappe HJ,Klein H,Frank G,Wenzlaff P,Lichtlen PRdoi
10.1016/0167-5273(92)90022-usubject
Has Abstractpub_date
1992-03-01 00:00:00pages
255-65issue
3eissn
0167-5273issn
1874-1754pii
0167-5273(92)90022-Ujournal_volume
34pub_type
杂志文章abstract:OBJECTIVE:The risk of ischemic stroke, systemic thromboembolism, and all-cause death among heart failure patients previously diagnosed with diabetes mellitus is poorly described. We evaluated the risk of these endpoints among heart failure patients without diagnosed atrial fibrillation according to the presence of diab...
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journal_title:International journal of cardiology
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更新日期:2009-07-24 00:00:00
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pub_type: 杂志文章,评审
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journal_title:International journal of cardiology
pub_type: 信件
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journal_title:International journal of cardiology
pub_type: 信件,多中心研究
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journal_title:International journal of cardiology
pub_type: 杂志文章
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pub_type: 杂志文章,meta分析
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pub_type: 杂志文章
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更新日期:1986-05-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,meta分析
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更新日期:2013-09-30 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
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更新日期:2007-06-25 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2007-12-15 00:00:00
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journal_title:International journal of cardiology
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更新日期:2016-01-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2003.07.034
更新日期:2004-10-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2017.08.054
更新日期:2017-12-15 00:00:00
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pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-02-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/0167-5273(95)02427-x
更新日期:1995-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:1993-05-01 00:00:00
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更新日期:1985-07-01 00:00:00
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