Ten-years follow-up of 20 patients with idiopathic ventricular tachycardia.

Détails

ID Serval
serval:BIB_3F30552E0A18
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Lettre (letter): communication adressée à l'éditeur.
Collection
Publications
Institution
Titre
Ten-years follow-up of 20 patients with idiopathic ventricular tachycardia.
Périodique
Pacing and Clinical Electrophysiology : Pace
Auteur⸱e⸱s
Goy J.J., Tauxe F., Fromer M., Schläpfer J., Vogt P., Kappenberger L.
ISSN
0147-8389[print], 0147-8389[linking]
Statut éditorial
Publié
Date de publication
1990
Volume
13
Numéro
9
Pages
1142-1147
Langue
anglais
Notes
Publication types: Comment ; Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublish
Résumé
The follow-up and characteristics of 20 patients with ventricular tachycardia (VT) and no detectable heart disease is reported. These were 16 men and four women with a mean age of 44 years. Symptoms were present in 18 patients (eight had syncope and ten palpitations or dizziness), VT was sustained in 11 patients and a left bundle branch block morphology with inferior axis was found in 17 patients. In three patients, VT had a right bundle branch block morphology and left-axis deviation. The VT was inducible in 13 patients during the electrophysiological testing (EP) and was sustained in five patients. Medical treatment was introduced in 19 patients. During a mean follow-up of 10 years from the onset of the symptoms and 6 years from the EP testing, one patient died suddenly. He had stopped taking amiodarone 5 months before. In seven patients symptoms recurred and were due to discontinuation of therapy in two cases and inefficacy of previous effective treatment in five patients. After modification of the treatment (three cases), implantation of a pacemaker (one case) and catheter ablation (one case), all patients became asymptomatic. Eleven patients became asymptomatic with the first administered antiarrhythmic therapy. One patient continues to be asymptomatic in spite of discontinuation of his medical therapy. We conclude that patients with VT and no detectable heart disease have a good long-term prognosis and that appropriate therapy can be found in almost all patients.
Mots-clé
Adult, Anti-Arrhythmia Agents/therapeutic use, Cardiac Pacing, Artificial, Electrocardiography, Electrocardiography, Ambulatory, Exercise Test, Female, Follow-Up Studies, Heart Conduction System/physiopathology, Humans, Male, Pacemaker, Artificial, Prognosis, Tachycardia/epidemiology, Tachycardia/therapy, Time Factors
Pubmed
Web of science
Création de la notice
15/02/2008 11:29
Dernière modification de la notice
20/08/2019 13:36
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