| Incidence of ventricular arrhythmias during silent myocardial ischaemia in coronary artery disease. | |
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MedLine Citation:
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PMID: 8960945 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This study investigated the relationship between silent myocardial ischaemia during daily life and ventricular ectopic activity in patients with angiographically confirmed coronary artery disease and preserved left ventricular function. We studied 45 patients (37 men, 8 women, aged 42-70 years) who satisfied the above criteria. All underwent 72-h continuous electrocardiographic monitoring for the detection of silent ischaemic episodes and ventricular arrhythmias. A total of 225 ischaemic episodes were recorded, of which 198 (88%) were silent. Fourteen of the silent episodes (7.1%) were associated with ventricular arrhythmias. There was no statistically significant relationship between the association of silent ischaemia with arrhythmias and the patients' exercise test or angiography findings. However, the ventricular arrhythmias tended to be associated with ischaemic episodes of longer duration and with greater maximum ST-segment depression. Silent myocardial ischaemia during everyday activity is accompanied by ventricular ectopic activity in only a small percentage of cases. The association between ischaemia and ventricular arrhythmias seems to have more to do with the duration of the ischaemic episode and the degree of ST segment depression than with the severity of the underlying coronary artery disease. |
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Authors:
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F Parthenakis; G Kochiadakis; E Simantirakis; E Zuridakis; S Chrysostomakis; I Ikonomidis; I Iconomidis; P Vardas |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of cardiology Volume: 57 ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 1996 Nov |
Date Detail:
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Created Date: 1997-03-11 Completed Date: 1997-03-11 Revised Date: 2010-02-17 |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: IRELAND |
Other Details:
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Languages: eng Pagination: 61-7 Citation Subset: IM |
Affiliation:
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Cardiology Department, University Hospital of Heraklion, Crete, Greece. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Arrhythmias, Cardiac / complications* Coronary Angiography Coronary Disease / complications* Electrocardiography, Ambulatory Exercise Test Female Humans Male Middle Aged Time Factors |
| Comments/Corrections | |
Erratum In:
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Int J Cardiol. 2010 Jan 21;138(2):217 Note: Iconomidis, I [corrected to Ikonomidis, I] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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