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[Absolute arrhythmia without an initially recognizable cause--prognosis and course].

H Holtz, E Ebner

    Zeitschrift Fur Die Gesamte Innere Medizin Und Ihre Grenzgebiete
    |September 15, 1985
    PubMed
    Summary
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    A 10-year study of 21 patients with absolute arrhythmia (a.p.) found that while initial prognoses are good, regular monitoring is crucial. About a quarter developed organic heart disease, underscoring the need for ongoing cardiac assessments.

    Area of Science:

    • Cardiology
    • Electrophysiology
    • Internal Medicine

    Context:

    • Investigating the long-term prognosis of patients diagnosed with absolute arrhythmia (a.p.)
    • Assessing the etiological basis of rhythm disturbances in patients with initially normal cardiac findings
    • Evaluating the necessity of continuous monitoring for early detection of organic heart disease

    Purpose:

    • To determine if a purely functional cause can be assumed for rhythm disturbances in patients with initially normal cardiac findings
    • To examine the 10-year course and outcomes of 21 patients with absolute arrhythmia
    • To identify the incidence of organic heart disease development in this patient cohort

    Summary:

    • A decade-long study of 21 patients with absolute arrhythmia (a.p.) revealed that while initial findings were normal, 25% developed organic heart disease.

    Related Experiment Videos

  • No patient deaths occurred during the study period; however, complications like brain embolisms and myocardial infarction were noted in two cases.
  • Despite persistent arrhythmias, most patients remained asymptomatic and employable, though echocardiographic deviations were observed in six patients.

    • Impact:

    • Highlights the importance of regular follow-up examinations for patients with absolute arrhythmia, even with initially normal findings.
    • Emphasizes that a significant proportion of patients with a.p. may develop underlying organic heart disease over time.
    • Suggests that echocardiography can reveal subclinical cardiac abnormalities in patients with a.p. and normal baseline assessments.