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Criteria for Proarrhythmia in Patients with Congestive Heart Failure: Use of Electrophysiologic Testing

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Congestive Heart Failure

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 75))

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Abstract

The mortality of patients with severe left ventricular dysfunction and congestive heart failure ranges from 25 to 50%. Almost half of the deaths of patients with heart failure are sudden, presumably due to malignant ventricular arrhythmias (1–5). Moreover, in such patients asymptomatic or only minimally symptomatic ventricular arrhythmias are common (1–5). Frequent and complex ventricular arrhythmias which occur in conjunction with depressed left ventricular function are associated with an increased risk of malignant ventricular tachyarrhythmias and it would seem logical that suppression of these asymptomatic arrhythmias would improve the prognosis of patients with heart failure. This, however, has yet to be validated. In fact, little data have been presented to support the notion that suppression of ventricular arrhythmias will lead to a reduction in the sudden death rate in these patients.

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© 1987 Martinus Nijhoff Publishing, Boston

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Horowitz, L.N. (1987). Criteria for Proarrhythmia in Patients with Congestive Heart Failure: Use of Electrophysiologic Testing. In: Morganroth, J., Moore, E.N. (eds) Congestive Heart Failure. Developments in Cardiovascular Medicine, vol 75. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2077-7_9

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  • DOI: https://doi.org/10.1007/978-1-4613-2077-7_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9232-6

  • Online ISBN: 978-1-4613-2077-7

  • eBook Packages: Springer Book Archive

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