| Surgery for ventricular tachycardia and left ventricular aneurysm provides arrhythmia control. | |
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MedLine Citation:
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PMID: 18569956 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Report long-term freedom from ventricular tachycardia (VT), survival, and causes of death in patients with left ventricular aneurysm and VT, who underwent a combined procedure for VT and surgical ventricular restoration (SVR). DESIGN: The primary outcome measures VT, survival, and cause of death, were ascertained by review of patients' records, interrogation of implanted cardioverter-defibrillators and use of national registers. RESULTS: Mean follow-up was 5.2 years. Overall survival was 62% at 5 years and 51% at 9 years. Freedom from spontaneous VT was 89%. In 32 patients who were non-inducible at postoperative testing, there was no occurrence of VT during a mean follow-up of 6.0 years. Causes of death were cardiac in 17 patients, and non-cardiac in 6 patients. No patient died from ventricular arrhythmia. CONCLUSIONS: Direct surgery for VT combined with SVR resulted in a very low risk of late recurrence of VT and good long-term survival. Implantation of a cardioverter-defibrillator can safely be withheld in patients who are non-inducible on postoperative programmed electrical stimulation. |
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Authors:
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Ulrik Sartipy; Anders Löfving; Anders Albåge; Dan Lindblom |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Scandinavian cardiovascular journal : SCJ Volume: 42 ISSN: 1401-7431 ISO Abbreviation: Scand. Cardiovasc. J. Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-06-23 Completed Date: 2008-10-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9708377 Medline TA: Scand Cardiovasc J Country: England |
Other Details:
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Languages: eng Pagination: 226-32 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, Stockholm, Sweden. ulrik.sartipy@karolinska.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cardiac Surgical Procedures* Defibrillators, Implantable Electric Countershock / instrumentation Electrophysiologic Techniques, Cardiac Female Heart Aneurysm / mortality, surgery* Heart Ventricles / surgery Hospital Mortality Humans Kaplan-Meiers Estimate Male Middle Aged Prospective Studies Recurrence Registries Tachycardia, Ventricular / mortality, surgery* Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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