Document Detail


Sustained ventricular arrhythmias in unstable angina patients: results of the ARIAM database.
MedLine Citation:
PMID:  19478698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to investigate patients with unstable angina (UA) and the predictive factors of these arrhythmias and to determine whether this complication behaves as an independent variable with regard to mortality, increased length of stay in an ICU/CCU, and the performance of percutaneous coronary intervention (PCI). MATERIAL/METHODS: The retrospective cohort study included all patients diagnosed with UA and included in the Spanish "ARIAM" database between June 1996 and December 2005. Univariate and multivariate analyses were performed to evaluate the factors associated with these arrhythmias. 17,616 patients were included. RESULTS: Sustained ventricular tachycardia (SVT) occurred in 0.5%. The factors associated with its development were age, cardiogenic shock, and non-sustained ventricular tachycardia. SVT was associated with mortality (adjusted OR: 9.836, 95%CI: 1.81-53.33). Ventricular fibrillation (VF) occurred in 1%. In the multivariate study the variables that persistently associated independently with the development of VF were gender, Killip class, and high degree atrioventricular block (HDAVB). VF was associated with higher mortality (27.1% vs. 0.9%). Nevertheless, VF was not seen to be a variable independently associated with mortality in UA patients. Only VF was an independent variable in length of stay (adjusted OR: 2.059, 95%CI: 1.175-3.609). Neither SVT nor VF were independent variables associated with PCI. CONCLUSIONS: Patients with UA complicated by SVT or VF represent a special high-risk subgroup with poor prognosis, which could lead to their being stratified towards a poor prognosis subgroup.
Authors:
Manuel Ruiz-Bailén; María Dolores Pola Gallego de Guzmán; Luis Rucabado-Aguilar; Manuela Expósito-Ruiz; Eduardo Aguayo de Hoyos; Ana María Castillo-Rivera; Rosell Quirós-Barrera; Silvia Galindo-Rodríguez; Juan Miguel Torres-Ruiz; Rafael Vázquez-García; José Angel Ramos-Cuadra; Ziad Issa-Khozouz;
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical science monitor : international medical journal of experimental and clinical research     Volume:  15     ISSN:  1643-3750     ISO Abbreviation:  Med. Sci. Monit.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-29     Completed Date:  2009-07-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609063     Medline TA:  Med Sci Monit     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  CR280-9     Citation Subset:  IM    
Affiliation:
Department of Critical Care and Emergency, Intensive Care Unit, Hospital Universitario Médico-Quirúrgico del Complejo Hospitalario de Jaén, Spain. mrb1604@terra.es
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angina, Unstable / complications*
Databases, Factual*
Female
Humans
Male
Middle Aged
Multivariate Analysis
Myocardial Infarction / pathology*
Ventricular Fibrillation / complications*
Investigator
Investigator/Affiliation:
Manuel Ruiz Bailén / ; J A Ramos Cuadra / ; J L Fierro Rosón / ; A Cárdenas Cruz / ; J F Martínez Coronel / ; F Barrero Acedo / ; S Martínez Escobar / ; F J Rodríguez Pérez / ; F J Delgado Vilchez / ; J Córdoba Escames / ; A Sánchez Rodríguez / ; P Cobos Castellanos / ; J Rodríguez Medina / ; J C Rodríguez Yáñez / ; J Gil Cebrián / ; José Arias Garrido / ; Antonio Rodríguez Zapallo / ; L Vallejo Sánchez / ; C de la Fuente Martos / ; R Toro Sánchez / ; F Dios Torronteras / ; E Lopera Lopera / ; F Contreras Molina / ; J M Molina Cantero / ; J L Bellot Iglesias / ; M I Rodríguez Higueras / ; P Ramos / ; S Ruiz Navarro / ; A Reina Toral / ; E Aguayo de Hoyos / ; M Colmenero Ruiz / ; M M Jiménez Quintana / ; F Barranco Ruiz / ; S Shiaffi no Cano / ; J K Torres Ruiz / ; J M Mercado Ramos / ; I Macias Guarasa / ; M A Fernández Sacristán / ; E del Campo Molina / ; L I Rucabado Aguilar / ; J L Muñoz Muñoz / ; E Castillo Lorente / ; A Carrillo Garrido / ; A de Molina Ortega / ; J A Camacho Pulido / ; A Montijano Vizcaíno / ; A Bartolomé Sanz / ; M M Sánchez Zorrilla Sanz / ; J A Ferriz Martín / ; T García Paredes / ; J C Escudero Valera / ; A García Alcántara / ; A Varela López / ; G Quesada García / ; M Zaheri Beryanaki / ; A Vázquez Vicente / ; J I Mateo Sánchez / ; J M García Alvarez / ; A Poullet Brea / ; A García García / ; F Castillo Guerrero / ; J A Arboleda / ; R Siendones / ; J Prieto de Paula / ; Y Fernández Jurado / ; B Maza / ; R Enamorado / ; F Ríos Ortíz / ; E Civeira / ; I Gutiérrez Cia / ; J González Cortijo / ; G Olivar Duplá / ; J M Vega / ; J A Lapuerta / ; M González / ; J Megido / ; R Fernández-Cid Bouza / ; M A González López / ; C de la Rubia de Gracia / ; F Cabeza Cabeza / ; P Ventura Ventura / ; L Fajardo Feo / ; P Cancelo Suarez / ; A Montón Rodríguez / ; M Arroyo García / ; A Zabalegui Pérez / ; J Armentia Fructuoso / ; Z Ferreras Paez / ; C Ruiz Pardo / ; F Cañizares Castellanos / ; Ch Martínez Jiménez / ; B Alvarez Martínez / ; J J Sandoval Garzón / ; J B López Messa / ; C Berrocal de la Fuente / ; J J Cortina Gómez / ; P Ancillo García / ; M A Taberna Izquierdo / ; P Medina Santaolalla / ; J J Sanz Hernán / ; P Velasco / ; S Armengol / ; A López / ; L Oussedick / ; J Berrade / ; A Rovira / ; E Bosch / ; J M Alcoberro / ; P Laguardia / ; M Piqué / ; B Balsera / ; R Alcega / ; S Alonso / ; J Mariné / ; J Rello / ; R Claramonte / ; I Forcadell / ; G Masdeu / ; Y del Castillo / ; P Espinosa / ; P Jubert / ; M Nolla / ; R Diaz Boladeras / ; M Valdés / ; J Nava / ; J Costa / ; A Ochagavia / ; F Baigorri / ; C Sala / ; P Velasco / ; A Rovira / ; J M Alcoberro / ; X Balanzó / ; I Vallverdú / ; B Balsera / ; S Alonso / ; J Rello / ; R Claramonte Porcar / ; I Forcadell Ferré / ; G Masdeu Eixarch / ; F Bodí / ; M L Centeno / ; S Calvo Barros / ; P Jiménez Gómez / ; J M Gulias López / ; J González Tutor / ; C J Fernández González / ; A M Ferreiro González / ; M L Martínez Rodríguez / ; A Díaz Lamas / ; R Rodríguez Alvarez-Granados / ; E Rodríguez García / ; M J de la Torre Fernández / ; C Miguez Baños / ; A País Almozara / ; D Vila Fernández / ; J Fandiño Pena / ; S López Astral / ; A Canabal / ; L Navarro / ; J C Pérez / ; E de la Fuente / ; S Temprano Vázquez / ; F del Nogal Sáez / ; J Rebollo Ternero / ; J López Martín / ; T Grau / ; J J Oñoro Cañavera / ; V Gómez Tello / ; J L Moreno Hurtrez / ; J D García / ; J L Soria / ; A García de la Gandara / ; S Plaza García / ; V Barrio Nebreda / ; P López Lorente / ; E Cereijo / ; J Miquel / ; F J Goizueta / ; M Quintana / ; A Simón Martín / ; J González Rodríguez / ; S García Plazas / ; V Barrio Nebreda / ; M Rodríguez / ; F Felices Abad / ; C Palazón Sánchez / ; S Nicolás Franco / ; J Rodríguez / ; A Sánchez / ; A Carrillo Alcaraz / ; P Jara / ; A Manrique / ; F Sos / ; G Hernando / ; F J Ochoa / ; J Cánovas Robles / ; C García-Romeu García / ; M Díaz Barranco / ; C Ruiperez Cebrian / ; M Pérez Avilés / ; F Ballenilla Antón / ; R Nogueira Collado / ; F Guardiola Navarro / ; A Roche / ; F Criado Rodríguez / ; J M Carrasco Barea / ; C Ortega Andrés / ; J Cardona Peretó / ; P Marzal Sorolla / ; J Latour Pérez / ; F J Coves Orts / ; A Mota López / ; J A Martín / ; J A Rodríguez / ; J A Martín / ; E de Miguel Balsa / ; M D Martínez / ; D Olivares Toledo / ; G Pérez Planelles / ; A Ferrandiz / ; A Belenguer Muncharaz / ; R Clemente García / ; J Cuñat de la Hoz / ; M P Fuset Cabanes / ; L I Miralles Serrano / ; M García Sanz / ; M Francés Sempere / ; R Oltra Chorna / ; M Rico Sola / ; M Roig Dasi / ; J Miñana Lorente / ; J L Martín Ruiz / ; V Borillo Moles / ; S Ferrandis Borras / ; R Calvo Embuena /

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