DINAMICS OF LIFE THREATENING ARRHYTHMIAS IN PATIENTS WITH HEART FAILURE IN PATIENTS RECEIVING CARDIOSYNCHRONIZING TREATMENT
Abstract
To assess the effectiveness of cardioresynchronizing treatment and incidence of ventricular arrhythmias in patients with heart failure refractory to medical treatment (functional classes III IV according to NYHA classification) and ventricular dyssynchronism, 35 patients (11 females and 24 males) aged 42 68 years (mean 58.3±14.4 years) with coronary artery disease and dilated cardiomyopathy were followed up.
About the Authors
S. V. Popov
ГУ НИИ кардиологии ТНЦ РАМН, Томск
Russian Federation
Russian Federation
G. M. Savenkova
ГУ НИИ кардиологии ТНЦ РАМН, Томск
Russian Federation
Russian Federation
I. V. Antonchenko
ГУ НИИ кардиологии ТНЦ РАМН, Томск
Russian Federation
Russian Federation
S. N. Krivolapov
ГУ НИИ кардиологии ТНЦ РАМН, Томск
Russian Federation
Russian Federation
A. A. Sokolov
ГУ НИИ кардиологии ТНЦ РАМН, Томск
Russian Federation
Russian Federation
G. I. Martsinkevich
ГУ НИИ кардиологии ТНЦ РАМН, Томск
Russian Federation
Russian Federation
S. A. Mitrofanova
ГУ НИИ кардиологии ТНЦ РАМН, Томск
Russian Federation
Russian Federation
S. M. Minin
ГУ НИИ кардиологии ТНЦ РАМН, Томск
Russian Federation
Russian Federation
References
1. Голухова Е.З., Какучая Т.Т. Оказывает ли сердечная ресинхронизационная терапия проаритмогенное или антиаритмическое действие? // Анналы аритмологии. 2006. № 1. - с. - 55-64.
2. Yan G.X., Rials S.J., Wu Y. et al. Ventricular hypertrophy amplifies transmural repolarization dispersion and induces early afterdepolarization. // Amer. J. Physiol. 2001. - Vol. 281. - p. - H1968-H1975.
3. Higgins S.L., Yong P., Sheck D. et al. Biventricular pacing diminishes the need for implantable cardioverter defibrillator therapy: Ventak CHF Investigators. // J. Amer. Coll. Cardiol. 2000. - Vol. - 36. - p. - 824-827.
4. Nesser H.J., Breithardt O.-A., Khandheria B.K. General considerations and extended indications for cardiac resynchronisation therapy. // Heart. 2004. - Vol. 90 (Suppl. VI): vi5-vi9. doi: 10.1136/ hrt. 2004.047167.
5. Medina-Ravell V.A., Lankipalli R.S., Yan G.X. et al. Effect of epicardial or biventricular pacing to prolong Q-T interval and increase transmural dispersion of depolarization. Does resynchronization therapy pose a risk for patients predisposed to long QT or torsade de pointes? // Circulation. 2003. - Vol. 107. - p. - 740-746.
6. Yan G.X., Antzelevirch C. Cellular basis for the normal T wave and the electrocardiographic manifestations of the long-QT syndrome. // Circulation. 1998. - Vol. 98. p. - 19281936.
7. Kies P., Molhoek S. G., Bax J. J., el al. Cardiac resynchronization therapy results in a lower arrhythmia burden [abstract]. // J. Coll. Cardiol. 2004. - Vol. - 43 (suppl A). - p. - 149A.
8. Kowal R. C., Wasmund S. L., Smith M. L. et al. Biventricular pacing reduces the induction of monomorphic ventricular tachycardia: potential mechanism for arrhythmia suppression. // Heart Rhythm. 2004. - Vol. 1. - p. - 295300.
9. Zagrodzky J.D., Ramaswamy K., Page R.L. et al. Biventricular pacing decreases the inducilibility of ventricular tachycardia in patents with ischemic cardiomyopathy. // Amer. J. Cardiol. 2001. - Vol.- 87. - p. - 1208-1210.
10. Cori A. D., Bongiorni M. G., Arena G. et al. New-on-set ventricular tachycardia after cardiac resynchronization therapy. // J. Interv. Card. Electrophysiol. 2005. - Vol. -12. - p. - 231-235.
11. Guerra J. M., Wu J., Miller J. M. et al. Increase in ventricular tachycardia frequency after biventricular implantable cardioverter defibrillator upgrade. // J. Cardiovasc. Elecrophysiol. 2003. -Vol. 14. - p. - 1245-1247.
12. Adamson P. B., Kleckner K. J., VanHour W. L. et al. Cardiac resynchronization therapy improves heart rate variability in patients with symptomatic heart failure. // Circulation. 2003. - Vol. - 108. - p. - 266-269.
13. Livanis E. G., Flevari P., Theodorakis G.N. et al. Effect of biventricular pacing on heart rate variability in patients with chronic heart failure. // Eur. J. Heart Fail. 2003. - Vol. - 5. - p. - 175-178.
Review
For citations:
Popov S.V., Savenkova G.M., Antonchenko I.V., Krivolapov S.N., Sokolov A.A., Martsinkevich G.I., Mitrofanova S.A., Minin S.M. DINAMICS OF LIFE THREATENING ARRHYTHMIAS IN PATIENTS WITH HEART FAILURE IN PATIENTS RECEIVING CARDIOSYNCHRONIZING TREATMENT. Journal of Arrhythmology. 2008;52(52):14-19. (In Russ.)
Views:
130
Email this article 