[The prognostic significance and correlation of ventricular late potentials with programmed electrical stimulation in patients after myocardial infarction]

Zhonghua Nei Ke Za Zhi. 1991 Apr;30(4):208-10, 253.
[Article in Chinese]

Abstract

Seventeen patients (pts) after myocardial infarction (MI) were studied with signal-averaged electrocardiograph and cardiac programmed electrical stimulation (PES). In 7 pts with late potentials (LPs), sustained ventricular tachycardia (SVT) was induced in 6 cases (6/7, 85.7%); while it was induced only in 3 cases the 10 pts without LPs (3/10, 30%). Both have significant difference (P less than 0.01). During following observation, pts with LPs and SVT induced 5 of the 6 appeared clinical SVT or ventricular fibrillation (VF) repetitiously, and 1 died from sudden cardiac death. They also have significant difference (P less than 0.001) with pts without LPs and SVT not induced. These results suggests that LPs is a significant index for predicting future events and its combination with PES is helpful to screen high-risk pts after MI.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Electric Stimulation / methods
  • Electrocardiography* / methods
  • Electrophysiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / physiopathology*
  • Prognosis
  • Ventricular Function / physiology*