Document Detail


Programmed stimulation in patients with minor forms of right ventricular dysplasia.
MedLine Citation:
PMID:  2806304     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Programmed electrical stimulation (PES) was performed in 17 patients, mean age 31 +/- 8 years, with minor forms of right ventricular dysplasia diagnosed because of (1) premature ventricular beats (PVBs) of left bundle branch block (LBBB) morphology; (2) no clinical or non-invasive evidence of cardiac abnormalities; (3) angiographic evidence of right ventricular wall motion abnormalities and bioptic findings of fibro-adipose infiltration. Fifteen patients had frequent and complex PVBs while two had sustained ventricular tachycardia (VT). During PES, sustained VT was induced in 2/2 patients with spontaneous sustained VT; ventricular repetitive responses were induced in 2/15 cases (13%) with complex and frequent PVBs. In conclusion, in minor forms of right ventricular dysplasia, PES induces VT only in patients with clinical VT; on the contrary, in patients with PVBs it is only possible to induce repetitive ventricular responses in a small proportion of cases; it is therefore not possible to select patients at high risk of developing severe ventricular arrhythmias.
Authors:
M Di Biase; S Favale; V Massari; G Amodio; A Chiddo; P Rizzon
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  10 Suppl D     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1989 Sep 
Date Detail:
Created Date:  1989-12-20     Completed Date:  1989-12-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  49-53     Citation Subset:  IM    
Affiliation:
Division of Cardiology, University of Bari, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arrhythmias, Cardiac / diagnosis*,  physiopathology
Cardiac Pacing, Artificial*
Cardiomyopathies / physiopathology*
Electric Stimulation
Female
Heart Ventricles / physiopathology
Humans
Male
Risk Factors

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


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