Titre
Late clinical outcome in patients with early ventricular fibrillation after myocardial infarction
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Auteur(s)
Nicod, P.
Auteure/Auteur
Gilpin, E.
Auteure/Auteur
Dittrich, H.
Auteure/Auteur
Wright, M.
Auteure/Auteur
Engler, R.
Auteure/Auteur
Rittlemeyer, J.
Auteure/Auteur
Henning, H.
Auteure/Auteur
Ross, J., Jr.,
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0735-1097
Statut éditorial
Publié
Date de publication
1988-03
Volume
11
Numéro
3
Première page
464
Dernière page/numéro d’article
70
Notes
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S. --- Old month value: Mar
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S. --- Old month value: Mar
Résumé
Whether ventricular fibrillation occurring within 48 h after acute myocardial infarction is associated with particular clinical features and poor prognosis, especially in patients with anterior myocardial infarction, is still debated. Therefore, clinical variables and in-hospital and 1 year mortality rates were analyzed in 2,088 patients, aged 18 to 95 years (mean +/- SD 64 +/- 12), admitted to the hospital with acute myocardial infarction between 1979 and mid 1984. One hundred forty-seven patients (7%) had at least one episode of ventricular fibrillation occurring within 48 h of hospital admission. Of these, 25% died during their initial hospitalization compared with 13% of patients without early ventricular fibrillation (p less than 0.001). In greater than 50% of patients with early ventricular fibrillation, the immediate cause of death was left ventricular failure or cardiogenic shock. In contrast, the 1 year mortality rate after hospital discharge was not significantly greater in patients with than in those without early ventricular fibrillation (15 versus 11%, respectively), particularly in the subgroup of patients with anterior myocardial infarction in which the mortality rate tended to be lower in patients with early ventricular fibrillation (8 versus 14%, respectively). Similar mortality results were found when only primary (not associated with left ventricular failure) ventricular fibrillation was analyzed. The left ventricular ejection fraction and the incidence of complex ventricular arrhythmias from 24 h ambulatory electrocardiographic monitoring obtained at hospital discharge were not different in survivors with or without early ventricular fibrillation (0.45 +/- 0.13 versus 0.49 +/- 0.14 and 41 versus 41%, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)
Sujets
PID Serval
serval:BIB_DB91E6B3357A
PMID
Open Access
Oui
Date de création
2008-01-25T13:00:53.191Z
Date de création dans IRIS
2025-05-21T06:28:37Z