SPECTRUM OF RIGHT HEART INVOLVEMENT IN PATIENTS WITH VENTRICULAR-TACHYCARDIA UNRELATED TO CORONARY-ARTERY DISEASE OR LEFT-VENTRICULAR DYSFUNCTION

被引:7
作者
ORLOV, MV [1 ]
BRODSKY, MA [1 ]
ALLEN, BJ [1 ]
WINTERS, RJ [1 ]
ORLOV, YSK [1 ]
机构
[1] UNIV CALIF IRVINE,IRVINE MED CTR,101 CITY DR S,BLDG 53,RT 81,ORANGE,CA 92668
关键词
D O I
10.1016/0002-8703(93)90533-F
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We studied 41 patients with clinically symptomatic ventricular tachycardia in the absence of coronary artery disease or left ventricular dysfunction to define the extent of right and left heart derangement and their relation to electrophysiologic and clinical data. Individual echocardiographic measurements as well as global assessment scores of the right and left heart demonstrated a wide spectrum of right heart echocardiographic abnormalities. There was much less variation in the left heart, with the majority of patients being close to normal. There was an association between the right heart score, the clinical presentation of arrhythmia, the response to programmed electrical stimulation, and the recurrence of arrhythmia (p < 0.05). Thus echocardiographic findings demonstrate the whole spectrum of right heart involvement in patients with apparent idiopathic ventricular tachycardia and can give insight into clinical history, arrhythmia inducibility, and prognosis.
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收藏
页码:1348 / 1356
页数:9
相关论文
共 30 条
[1]   DETERMINATION OF RIGHT ATRIAL AND RIGHT VENTRICULAR SIZE BY 2-DIMENSIONAL ECHOCARDIOGRAPHY [J].
BOMMER, W ;
WEINERT, L ;
NEUMANN, A ;
NEEF, J ;
MASON, DT ;
DEMARIA, A .
CIRCULATION, 1979, 60 (01) :91-100
[2]   VENTRICULAR-TACHYCARDIA IN A YOUNG-POPULATION WITHOUT OVERT HEART-DISEASE [J].
DEAL, BJ ;
MILLER, SM ;
SCAGLIOTTI, D ;
PRECHEL, D ;
GALLASTEGUI, JL ;
HARIMAN, RJ .
CIRCULATION, 1986, 73 (06) :1111-1118
[3]  
FOALE R, 1986, BRIT HEART J, V56, P33
[4]  
FOALE RA, 1986, BRIT HEART J, V56, P45
[5]  
FRANK R, 1978, ARCH MAL COEUR VAISS, V71, P963
[6]  
Goldberger J J, 1991, J Am Soc Echocardiogr, V4, P140
[7]   ECHO DOPPLER EVALUATION OF RIGHT VENTRICULAR DYSPLASIA [J].
ILICETO, S ;
IZZI, M ;
DEMARTINO, G ;
RIZZON, P .
EUROPEAN HEART JOURNAL, 1989, 10 :29-32
[8]   ASSESSMENT OF RIGHT VENTRICULAR-FUNCTION USING TWO-DIMENSIONAL ECHOCARDIOGRAPHY [J].
KAUL, S ;
TEI, C ;
HOPKINS, JM ;
SHAH, PM .
AMERICAN HEART JOURNAL, 1984, 107 (03) :526-531
[9]   TWO-DIMENSIONAL ECHOCARDIOGRAPHY IN ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA [J].
KISSLO, J .
EUROPEAN HEART JOURNAL, 1989, 10 :22-26
[10]   ARRHYTHMOGENIC RIGHT AND LEFT-VENTRICULAR DISEASE - EVALUATION BY COMPUTED-TOMOGRAPHY AND NUCLEAR MAGNETIC-RESONANCE IMAGING [J].
KLERSY, C ;
RAISARO, A ;
SALERNO, JA ;
MONTEMARTINI, C ;
CAMPANI, R .
EUROPEAN HEART JOURNAL, 1989, 10 :33-36