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Management of Ventricular Tachyarrhythmias: Is Correction of Ischemia Sufficient?

  • F. Di Pede
  • G. Zuin
  • G. Turiano
  • A. Raviele

Abstract

It is well known that patients with ischemic heart disease are prone to ventricular tachyarrhythmias and to sudden death.

Keywords

Cardiac Arrest Sudden Death Ventricular Tachycardia Ventricular Fibrillation Ventricular Tachyarrhythmia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Myerburg RJ, Castellanos A (1997) Cardiac arrest and sudden cardiac death. In: Braunwald E (ed) Heart disease. WB Saunders Co. Philadelphia, pp 742–779Google Scholar
  2. 2.
    Brugada P, Wellens F, Andries E (1996) A prophylactic implantable cardioverter-defibrillator?. Am J Cardiol 78 [Suppl 5A]:128–133PubMedCrossRefGoogle Scholar
  3. 3.
    Wolfe CL, Nibley C, Bhandari A, Chatterjee K, Scheinman M (1991) Polymorphous ventricular tachycardia associated with acute myocardial infarction. Circulation 84: 1543–1551PubMedCrossRefGoogle Scholar
  4. 4.
    Eldar M, Sievner Z, Goldbourt U, Reicher-Reiss H, Kaplinsky E, Behar S for the SPRINT study group (1992) Primary ventricular tachycardia in acute myocardial infarction: clinical characteristics and mortality. Ann Intern Med 117: 31–36PubMedCrossRefGoogle Scholar
  5. 5.
    Bayes de Luna A, Carrears F, Cladellias, Oca F, Sagues F, Garcia Moll M (1985) Holier ECG study of the electrocardiographic phenomena in Prinzmetal angina attacks with emphasis of the study of ventricular arrhythmias. J Electrocardiol 18: 267–275PubMedCrossRefGoogle Scholar
  6. 6.
    Furfukawa T, Moroe K, Mairovitz HN et al (1991) Arrhythmogenic effects of graded coronary blood flow reductions superimposed on prior myocardial infarction in dogs. Circulation 84: 368–375CrossRefGoogle Scholar
  7. 7.
    Schwartz PJ, Billman GE, Stone HL (1984) Autonomic mechanisms in ventricular fibrillation induced by myocardial ischemia during exercise in dogs with healed myocardial infarction. An experimental preparation for sudden cardiac death. Circulation 69: 790–800PubMedCrossRefGoogle Scholar
  8. 8.
    Baum RS, Alvarez H, Cobb LA (1974) Survival after resuscitation from out-of-hospital ventricular fibrillation. Circulation 50: 1231–1237PubMedCrossRefGoogle Scholar
  9. 9.
    Marcus FI, Cobb LA, Edwards JE, Kuller L, Moss AJ, Bigger JT, Fleiss JL, Rolnitzky L, Serokman R and the Multicenter Post Infarction Research Group (1988) Mechanism of death and prevalence of myocardial ischemic symptoms in the terminal event after acute myocardial infarction. Am J Cardiol 61: 8–15CrossRefGoogle Scholar
  10. 10.
    Roberts WC (1989) Qualitative and quantitative comparison of amounts of narrowing by atheroslerotic plaques in the major epicardial coronary arteries at necroscopy in sudden coronary death, transmural acute myocardial infarction, transmural healed myocardial infarction and unstable angina pectoris. Am J Cardiol 64: 324–328PubMedCrossRefGoogle Scholar
  11. 11.
    Davies MJ, Thomas A (1984) Thrombosis and acute coronary artery lesions in sudden cardiac ischemic death. New Engl J Med 310: 1137–1140PubMedCrossRefGoogle Scholar
  12. 12.
    Stevenson WG, Brugada P, Waldecker B, Zehender M, Wellens HJJ (1985) Clinical, angiographic and electrophysiologic findings in patients with aborted sudden death as compared with patients with sustained ventricular tachycardia after myocardial infarction. Circulation 71: 1146–1152PubMedCrossRefGoogle Scholar
  13. 13.
    Adhar GC, Larson LW, Bardy GH, Greene HL (1988) Sustained ventricular arrhythmias: differences between survivors of cardiac arrest and patients with recurrent sustained ventricular tachycardia. J Am Coll Cardiol 12: 159–165PubMedCrossRefGoogle Scholar
  14. 14.
    De Bakker JMT, van Capelle FJL, Janse MJ, Wilde AAM, Coronel R, Becker AE, Dingemans KP, van Hemel NM, Hauer RNW (1988) Reentry as a cause of ventricular tachycardia with chronic ischemic heart disease: electrophysiologic and anatomic correlation. Circulation 77: 589–606PubMedCrossRefGoogle Scholar
  15. 15.
    Meissner MD, Aktar M, Lehmann M (1991) Nonischemic sudden tachyarrhythmias death in atherosclerotic heart disease. Circulation 84: 905–912PubMedCrossRefGoogle Scholar
  16. 16.
    Breithardt G, Borggrefe M (1986) Pathophysiological mechanism and clinical significance of ventricular late potentials. Eur Heart J 7: 364–385PubMedGoogle Scholar
  17. 17.
    Swerdlow CR, Winkle RA, Mason JW (1983) Determinants of survival in patients with ventricular tachycardia. New Engl J Med 308: 1436–1439PubMedCrossRefGoogle Scholar
  18. 18.
    Wilber DJ, Garan H, Finkelstein D, Kelly E, Newell J, McGovern B, Ruskin JN (1988) Out-of-hospital cardiac arrest: use of electrophysiologic testing in the prediction of long-term outcome. New Engl J Med 318: 19–24PubMedCrossRefGoogle Scholar
  19. 19.
    Luu M, Stevenson WG, Stevenson LW, Baron K, Walden J (1989) Diverse mechanism of unexpected cardiac arrest in advanced heart failure. Circulation 80: 1675–1680PubMedCrossRefGoogle Scholar
  20. 20.
    Rahimtoola SH (1989) The hybernating myocardium. Am Heart J 117: 211–221PubMedCrossRefGoogle Scholar
  21. 21.
    Eitzman D, Al-Aouar Z, Kanter HL, vom Dahl J, Kirsh M, Deeb GM, Schwaiger M (1992) Clinical outcome of patients with advanced coronary artery disease after viability studies with positron emission tomography. J Am Coll Cardiol 20: 559–565PubMedCrossRefGoogle Scholar
  22. 22.
    Kendall MJ, Lynch KP, Hjalmarson A, Kjekshus J (1995) B-blockers and sudden cardiac death. Ann Intern Med 123: 358–367PubMedCrossRefGoogle Scholar
  23. 23.
    Varnauskas E, European Coronary Surgery Study Group (1985) Survival myocardial infarction and employment status in a prospective randomized study of coronary bypass surgery. Circulation 72 V 90–101Google Scholar
  24. 24.
    Alderman EL, Bourassa MG, Cohen LS, Davies KB, Kaiser GC, Killip T, Mock MB, Pettinger M, Roberts TL (1990) Ten years follow up of survival and myocardial infarction in the Coronary Artery Surgery Study. Circulation 82: 1629–1646PubMedCrossRefGoogle Scholar
  25. 25.
    Holmes DR, Davis KB, Mock MB, (1986) The effect of medical and surgical treatment subsequent sudden cardiac death in patients with coronary artery disease: a report from the Coronary Artery Surgery Study. Circulation 73: 1254–1263PubMedCrossRefGoogle Scholar
  26. 26.
    Garan JD, Ruskin JN, DiMarco JP (1983) Electrophysiologic studies before and after myocardial revascularization in patients with life-threatening ventricular arrhythmias. Am J Cardiol 51: 519–524PubMedCrossRefGoogle Scholar
  27. 27.
    Fonger JD, Guarnieri T, Griffith LSC (1988) Impending sudden cardiac death: treatment with myocardial revascularization and the automatic implantable cardioverterdefibrillator. Ann Thorac Surg 46: 13–19PubMedCrossRefGoogle Scholar
  28. 28.
    Kron IL, Lerman BB, Haines DE (1989) Coronary artery bypass grafting in patients with ventricular fibrillation. Ann Thorac Surg 48: 85–89PubMedCrossRefGoogle Scholar
  29. 29.
    Kelly P, Ruskin JN, Vlahakes GJ (1990) Surgical coronary revascularization in survivors of prehospital cardiac arrest: its effect on inducible ventricular arrhythmias and long-term survival. J Am Coll Cardiol 15: 267–273PubMedCrossRefGoogle Scholar
  30. 30.
    Manolis AS, Rastegar H, Mark Estes III NA (1993) Effects of coronary artery bypass grafting on ventricular arrhytmias: results with electrophysiological testing and long-term follow-up. PACE 16: 984–991PubMedCrossRefGoogle Scholar
  31. 31.
    Levine JH, Mellits ED, Baumgardener RA, Veltri EP, Mower M, Grunwald L, Guarnieri T, Aarons D, Griffith LSC (1991) Predictors of first discharge and subsequent survival in patients with automatic implantable cardioverter-defibrillators. Circulation 84: 558–566PubMedCrossRefGoogle Scholar
  32. 32.
    Tresch DD, Wetherbee JN, Siegel R, Troup PJ, Keelan MH, Olinger GN, Brooks HL (1985) Long-term follow-up of survivors of prehospital sudden cardiac death treated with coronary bypass surgery. Am Heart J 110: 1139–1145PubMedCrossRefGoogle Scholar
  33. 33.
    Every NR, Fahrenbruch CE, Hallstrom AP, Weaver D, Cobb LA (1992) Influence of coronary bypass surgery on subsequent outcome of patients resuscitated from outof-hospital cardiac arrest. J Am Coll Cardiol 19: 1435–1439PubMedCrossRefGoogle Scholar
  34. 34.
    Trappe HJ, Klein H, Wahlers T, Fieguth HG, Wenzlaff P, Kielblock B, Lichtlen PR (1994) Risk and benefit of additional aortocoronary bypass grafting in patients undergoing cardioverter-defibrillator implantation. Am Heart 1 127: 75–82CrossRefGoogle Scholar
  35. 35.
    Wiesfeldt ACP, Crijns HJCM, Hillege HL, Tuininga YS, Lie KI (1995) The clinical significance of coronary anatomy in post-infarct patients with late sustained ventricular tachycardia or ventricular fibrillation. Eur Heart J 16: 818–824Google Scholar
  36. 36.
    Raviele A (1996) Implantable cardioverter-debrillator (ICD) indications in 1996: have they changed? Am J Cardiol 78 [Suppl 5A]: 21–25PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 1998

Authors and Affiliations

  • F. Di Pede
    • 1
  • G. Zuin
    • 1
  • G. Turiano
    • 1
  • A. Raviele
    • 1
  1. 1.Divisione di CardiologiaOspedale Umberto IMestre, VeniceItaly

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