Document Detail

Evaluation of warning arrhythmias before paroxysmal ventricular tachycardia during acute myocardial infarction in man.
MedLine Citation:
PMID:  476886     Owner:  NLM     Status:  MEDLINE    
In order to determine the relationship of paroxysmal ventricular tachycardia (PVT) to any antecedent (premonitory) ventricular arrhythmias during the early phases of acute myocardial infarctions, 24-hour Holter monitoring was begun on 52 male patients an average of 12.6 hours after the onset of prolonged chest pain that was documented as acute infraction. Twenty-four patients had PVT and 28 did not. We analyzed in detail the incidence of frequency of premature ventricular complexes (PVCs), prematurity and pairing during the 10 minutes immediately preceding PVT from a continuous 10-minute rhythm strip. There was no positive correlation between PVT and the number or complexity of PVCs in the 10 minutes immediately before ventricular tachycardia. These findings suggest that there is no consistent pattern or frequency of ventricular arrhythmia that could be identified as premonitory for PVT during the immediate pre-PVT period, even during the acute phase of myocardial infarction in man.
N de Soyza; D Meacham; M L Murphy; J J Kane; J E Doherty; J K Bissett
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  60     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1979 Oct 
Date Detail:
Created Date:  1979-11-21     Completed Date:  1979-11-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  814-8     Citation Subset:  AIM; IM    
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MeSH Terms
Acute Disease
Anti-Arrhythmia Agents / therapeutic use
Arrhythmias, Cardiac / complications*,  drug therapy
Heart Rate
Myocardial Infarction / complications*,  mortality
Tachycardia, Paroxysmal / complications*
Reg. No./Substance:
0/Anti-Arrhythmia Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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