Document Detail


Ventricular ectopic activity and its relevance to aircrew licensing.
MedLine Citation:
PMID:  6373292     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ventricular ectopic complex ( VEC ) activity is seen frequently, both in patients with cardiovascular disease and in normal subjects. It has been claimed to be predictive of cardiovascular disease but in the asymptomatic individual it may be benign. Unifocal ventricular ectopic complexes with activity greater than 2 per 100 on the resting electrocardiogram of an applicant for a flying licence should be assessed. Further investigation including exercise electrocardiography and tape monitoring may be indicated. Even following investigation, empirically high counts may be acceptable only for multi-crew operation. Complex ventricular ectopic activity including multiformity, pairs, ventricular tachycardia, R-on-T ectopic beats, bigeminy and trigeminy, and parasystole, are incompatible with unrestricted certification and most are incompatible with any form of certification as individual risk-stratification is not yet possible. Of these, bigeminal arrhythmias are, however, likely to be the most benign, while R-on-T ectopic complexes and ventricular tachycardia are the most malignant.
Authors:
R W Campbell
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  European heart journal     Volume:  5 Suppl A     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1984 Mar 
Date Detail:
Created Date:  1984-07-17     Completed Date:  1984-07-17     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  95-8     Citation Subset:  IM; S    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aerospace Medicine*
Age Factors
Arrhythmias, Cardiac / diagnosis*,  epidemiology,  mortality
Death, Sudden / etiology
Electrocardiography
Female
Humans
Licensure*
Male
Personnel Management*
Personnel Selection*
Prognosis
Rest
Sex Factors
Work Capacity Evaluation

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


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