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Comparison of the Prevalence of Non-invasive Risk Markers of the Sudden Cardiac Death in Patients Treated by Thrombolysis and by Percutaneous Transluminal Coronary Angioplasty


Authors: L. Křivan;  M. Kozák;  M. Sepši;  P. Lokaj;  N. Honzíková 1;  J. Špinar
Authors‘ workplace: Interní kardiologická klinika FN, Brno ;  Fyziologický ústav LF MU, Brno 1
Published in: Čas. Lék. čes. 2005; 144: 546-548
Category: Original Article

Overview

Background.
Myocardial infarction survivors may develop a higher risk of sudden cardiac death. The risk markers: left ventricular ejection fraction, ventricular premature beats, late potentials on averaged ECG, baroreflex sensitivity and heart rate variability are used as non-invasive stratification markers. 

Methods and Results.
Occurrence of the autonomic and morphologic dysfunction risk markers in the myocardial infarction patients treated by thrombolysis and by primary percutaneous transluminal coronary angioplasty (PTCA) is compared. We studied a cohort of 48 acute myocardial infarction survivors treated by primary PTCA and 96 patients treated by thrombolysis. 

Conclusions.
Patients treated by primary PTCA had significantly lower occurrence of premature ventricular beats and pathological parameters of the heart rate variability. 

Key words:
non-invasive stratification sudden cardiac death risk, myocardial infarction, heart rate variability.


Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management
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