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Detection of Patients at High Risk for Sudden Death: The Role of Electrocardiographic Monitoring

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Sudden Death

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 4))

Abstract

During the past decade there has been considerable interest in ECG monitoring to identify patients at high risk of sudden cardiac death. Several studies have examined the predictive value of ventricular premature beats which occur on 12-lead electrocardiograms. There is general agreement that premature ventricular beats occurring on 12-lead electrocardiograms in the absence of clinical evidence of significant heart disease do not identify patients with an increased risk of subsequent sudden death (1–3). However, the occurrence of ventricular premature beats in patients with clinical evidence of coronary heart disease does identify a group of patients with an increased risk of subsequent sudden death (2–5).

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References

  1. Blackburn H, de Backer G, Crow R, Prineas R and Jacobs D: Epidemiology and prevention of ventricular ectopic rhythms. Adv Cardiol 18: 208–216, 1976.

    PubMed  CAS  Google Scholar 

  2. Chiang BN, Perlman LV, Ostrander LD Jr, Epstein FH: Relationship of premature systoles to coronary heart disease and sudden death in the Tecumseh epidemiologic study. Ann Int Med 70 (6): 1159–116, 1969.

    PubMed  CAS  Google Scholar 

  3. Rodstein M, Wolloch L, Gubner RS: Mortality study of the significance of extrasystoles in an insured population. Circulation 44: 617–625, 1971.

    PubMed  CAS  Google Scholar 

  4. Tominaga S, Blackburn H: Prognostic importance of premature beats following myocardial infarction: Experience in the coronary drug project. JAMA 223: 1116–1124, 1973.

    Article  Google Scholar 

  5. Desai DC, Hershberg PI, Alexander S: Clinical significance of ventricular premature beats in an outpatient population. Chest 64: 564–569, 1973.

    Article  PubMed  CAS  Google Scholar 

  6. Hinkle LE, Carver ST, Stevens M: The frequency of asymptomatic disturbances of cardiac rhythm and conduction in middle-aged men. Am J Cardiol 24: 629–650, 1969.

    Article  PubMed  Google Scholar 

  7. Hinkle LE, Carver ST, Argyros DC: The prognostic significance of ventricular premature contractions in healthy people and in people with coronary heart disease. Acta Cardiologica (suppl) 18: 5–32, 1974.

    Google Scholar 

  8. Moss AJ, DeCamilla J, Engstrom F, Hoffman W, Odoroff C, Davis H: The posthospital phase of myocardial infarction: Identification of patients with increased mortality risk. Circulation 49: 460–466, 1974.

    PubMed  CAS  Google Scholar 

  9. Ruberman W, Weinblatt E, Goldberg J, Frank CW, Shapiro S: Ventricular premature beats and mortality after myocardial infarction. New Engl J Med 297: 750–757, 1977.

    Article  PubMed  CAS  Google Scholar 

  10. Schulze RA Jr, Strauss HW, Pitt B: Sudden death in the year following myocardial infarction. Am J Med 62: 192–199, 1977.

    Article  PubMed  Google Scholar 

  11. Vismara LA, Amsterdam EA, Mason DT: Relation of ventricular arrhythmias in the late hospital phase of acute myocardial infarction to sudden death after hospital discharge. Am J Med 59: 6–12, 1975.

    Article  PubMed  CAS  Google Scholar 

  12. Luria MH, Knoke JD, Margolis RM, Hendricks FH, Kuplic JB: Acute myocardial infarction: Prognosis after recovery. Ann Int Med 85: 561–565, 1976.

    PubMed  CAS  Google Scholar 

  13. Rehnqvist N: Ventricular arrhythmias after an acute myocardial infarction. European J Cardiol 7/2–3:169187, 1978.

    Google Scholar 

  14. DeBusk RF, Davidson DM, Houston N, Fitzgerald JW: Serial ambulatory electrocardiography and treadmill exercise testing following uncomplicated myocardial infarction. Circulation (in press).

    Google Scholar 

  15. de Soyza N, Bennett FA, Murphy ML, Bisset JK, Kane JJ: The relationship of paroxysmal ventricular tachycardia complicating the acute phase and ventricular arrhythmia during the late hospital phase of myocardial infarction to long-term survival. Am J Med 64: 377–381, 1978.

    Article  PubMed  Google Scholar 

  16. Bigger JT, Heller CA, Wenger TL, Weld FM: Risk stratification after acute myocardial infarction. Am J Cardiol 42: 202–210, 1978.

    Article  PubMed  CAS  Google Scholar 

  17. Wenger TL, Bigger JT Jr, Merrill GS: Ventricular arrhythmias in the late hospital phase of acute myocardial infarction. Abstract Circulation 51 and 52 (suppl II): 11–110, 1975.

    Google Scholar 

  18. Fitzgerald JW, Houston N, DeBusk RF: Natural history of ventricular arrhythmias in post-infarction patients. Circulation 53 and 54 (suppl II): 11–10, 1976.

    Google Scholar 

  19. Kotler MN, Tabatznik B, Mower MM, Tominaga S: Prognostic significance of ventricular ectopic beats with respect to sudden death in the late postinfarction period. Circulation 47: 959–966, 1973.

    PubMed  CAS  Google Scholar 

  20. Moss AJ, Schnitzler R, Green R, DeCamilla J: Ventricular arrhythmias 3 weeks after acute myocardial infarction. Ann Int Med 75: 837–841, 1971.

    PubMed  CAS  Google Scholar 

  21. Moss AJ, De Camilla J, Mietlowski W, Greene WA, Goldstein S, Locksley R: Prognostic grading and significance of ventricular premature beats after recovery from myocardial infarction. Circulation 51 and 52 (suppl III):III-204–210, 1975.

    Google Scholar 

  22. Moss AJ, DeCamilla JJ, Davis HP, Bayer L: Clinical significance of ventricular ectopic beats in the early posthospital phase of myocardial infarction. Am J Cardiol 39: 635–640, 1977.

    Article  PubMed  CAS  Google Scholar 

  23. Rehnqvist N: Ventricular arrhythmias prior to discharge after acute myocardial infarction. European J Cardiol 4 /1: 63–70, 1976.

    CAS  Google Scholar 

  24. Rehnqvist N and Sjogren A: Ventricular arrhythmias prior to discharge and one year after acute myocardial infarction. European J Cardiol 5 /5: 425–442, 1977.

    CAS  Google Scholar 

  25. Ruberman W, Weinblatt E, Frank CW, Goldberg JD, Shapiro S, Feldman CL: Prognostic value of one hour of ECG monitoring of men with coronary heart disease. J Chron Dis 29: 497–512, 1976.

    Article  PubMed  CAS  Google Scholar 

  26. Schulze RA Jr, Rouleau J, Rigo P, Bowers S, Strauss, Pitt B: Ventricular arrhythmias in the late hospital phase of acute myocardial infarction: Relation of left ventricular function detected by gated cardiac blood pool scanning. Circulation 52: 1006–1011, 1975.

    PubMed  Google Scholar 

  27. Kleiger RE, Martin TF, Miller JP, et al: Ventricular tachycardia and ventricular extrasystoles during the late recovery phase of myocardial infarction. Am J Cardiol 33: 149, 1974.

    Article  Google Scholar 

  28. Oliver GC, Nolle FM, Tiefenbrunn AJ, et al: Ventricular arrhythmias associated with sudden death in survivors of acute myocardial infarction. Am J Cardiol 33: 160, 1974.

    Article  Google Scholar 

  29. Van Durme JP, Pannier RH: Prognostic significance of ventricular dysrhythmias 1 year after myocardial infarction. Am J Cardiol 37: 178, 1976.

    Article  Google Scholar 

  30. Anderson KP, De Camilla J, Moss AJ: Clinical significance of ventricular tachycardia (3 beats or longer) detected during ambulatory monitoring after myocardial infarction. Circulation 57: 890–897, 1978.

    PubMed  CAS  Google Scholar 

  31. Calvert A, Lown B, Gorlin R: Ventricular premature beats and anatomically defined coronary heart disease. Am J Cardiol 39: 627–634, 1977.

    Article  PubMed  CAS  Google Scholar 

  32. Vismara LA, Vera Z, Foerster JM, Amsterdam EA, Mason DT: Identification of sudden death risk factors in acute and chronic coronary artery disease. Am J Cardiol 39: 821–828, 1977.

    Article  PubMed  CAS  Google Scholar 

  33. Califf RM, Burks JM, Behar VS, Margolis JR, Wagner GS: Relationships among ventricular arrhythmias, coronary artery disease, and angiographic and electrocardiographic indicators of myocardial fibrosis. Circulation 57: 725–732, 1978.

    PubMed  CAS  Google Scholar 

  34. Sharma SD, Ballantyne F, Goldstein S: The relationship of ventricular asynergy in coronary artery disease to ventricular premature beats. Chest 66: 358–362, 1974.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. R. A. Winkle
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Editors and Affiliations

  1. School of Medicine, Division of Cardiology, University of Liège, Liège, Belgium

    H. E. Kulbertus

  2. Department of Cardiology, Annadal Hospital, University of Limburg, Maastricht, Netherlands

    H. J. J. Wellens

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© 1980 Martinus Nijhoff Publishers bv, The Hague

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Winkle, R.A. (1980). Detection of Patients at High Risk for Sudden Death: The Role of Electrocardiographic Monitoring. In: Kulbertus, H.E., Wellens, H.J.J. (eds) Sudden Death. Developments in Cardiovascular Medicine, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8834-7_17

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  • DOI: https://doi.org/10.1007/978-94-009-8834-7_17

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-8836-1

  • Online ISBN: 978-94-009-8834-7

  • eBook Packages: Springer Book Archive

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