Abstract:
:Electrophysiologic studies were prospectively performed in 91 consecutive patients referred for evaluation of sustained ventricular tachycardia or sudden cardiac death. Fifty-two patients had a history of sustained ventricular tachycardia and 39 patients had a history of sudden cardiac death. The identical stimulation protocol was used in all patients. The stepwise protocol involved atrial pacing, burst ventricular pacing, single, double, and triple extrastimuli during ventricular pacing. Stimulation was performed at the right ventricular apex at two and five times diastolic threshold. Using this protocol, ventricular tachycardia was inducible in 48 (92%) of the 52 patients with a history of sustained ventricular tachycardia and in 28 (72%) of 39 patients with a history of sudden cardiac death (p less than 0.02). The use of a third extrastimulus increased the yield of inducible ventricular tachycardia by 37% in patients with a history of sustained ventricular tachycardia and by 25% in patients with a history of sudden cardiac death. Stimulation at five times diastolic threshold and stimulation from the right ventricular outflow tract added a 15% increment in overall yield of inducible ventricular tachycardia in patients with a history of sustained ventricular tachycardia, and a 26% increment in yield in patients with a history of sudden cardiac death. Forty-four (92%) of the 48 inducible patients in the sustained ventricular tachycardia group had inducible monomorphic ventricular tachycardia as compared to 19 (68%) of 28 patients in the sudden cardiac death group (p less than 0.02).(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Am Heart Jjournal_title
American heart journalauthors
Oseran DS,Gang ES,Hamer AW,Zaher CA,Rosenthal ME,Mandel WJ,Peter Tdoi
10.1016/0002-8703(85)90088-2subject
Has Abstractpub_date
1985-09-01 00:00:00pages
646-51issue
3eissn
0002-8703issn
1097-6744pii
0002-8703(85)90088-2journal_volume
110pub_type
杂志文章abstract::Three illustrative cases of refractory hypoxemia in adults are presented. In two cases contrast echocardiography was invaluable in establishing the diagnosis of a true anatomic right to left shunt, as well as in localizing the shunt to an intracardiac or extracardiac site. In the third case true anatomic right to left...
journal_title:American heart journal
pub_type: 杂志文章
doi:10.1016/0002-8703(93)90126-t
更新日期:1993-04-01 00:00:00
abstract:BACKGROUND:According to a recent meta-analysis, parathyroid hormone (PTH) excess is associated with increased cardiovascular disease (CVD) risk, but existing studies are limited. We examined in a prospective study the association of PTH with the incidence of CVD, taking into account vitamin D and other confounding vari...
journal_title:American heart journal
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更新日期:2014-09-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,meta分析,评审
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pub_type: 信件
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更新日期:2018-07-01 00:00:00
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更新日期:1982-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:American heart journal
pub_type: 临床试验,杂志文章
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更新日期:1978-08-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2012-04-01 00:00:00
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journal_title:American heart journal
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1996-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:1979-06-01 00:00:00
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:1975-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-04-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:1985-03-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2006-05-01 00:00:00
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更新日期:1998-03-01 00:00:00
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更新日期:1985-03-01 00:00:00
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journal_title:American heart journal
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2000-11-01 00:00:00
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