静脈早産複合体は,胸痛の予後において重要な役割を果たします

W Ruberman, E Weinblatt, J D Goldberg

Circulation

|June 1, 1980

まとめ

心電図モニタリングで検出された心室早産複合体は,胸痛の男性における死亡リスクを予測します. この発見は,前回の心筋梗塞のない患者の予後を評価するのに役立ちます.

科学分野:

心臓病学心臓病学
臨床電気生理学臨床電気生理学
予防性心臓病学予防性心臓病学

背景:

努力性アンギナは,予後評価を必要とする一般的な状態です.
前回の心筋梗塞は,長期的な死亡率に大きな影響を及ぼします.
心臓発作歴のないアンギナ患者における心房不律症の予後値については,明確にする必要がある.

研究の目的:

努力性 anginaを持つ男性における心室早産複合体 (VPCs) の予後的意義を調査する.
アンギナを患っている男性と,前回の心筋梗塞を患っている男性の死亡リスクを比較する.
アンギナ患者における死亡率の独立した予測要因を特定する.

主な方法:

ストレスト・アングイナを患った416人の男性の将来的な心電図モニタリング.
5年以上の生存率分析.
すべての原因および突然の冠動脈死亡のリスク要因を評価するための多変量回帰.

主要な成果:

モニタリング中のVPC,標準EKGでのSTセグメントのうつ,および年齢は,胸痛患者の死亡率の独立した予測因子でした.
胸痛を持つ男性は,以前の心筋梗塞を患った男性よりも年齢調整した5年後の死亡率が低かった.
心筋機能障害の指標 (VPC,STうつ病) の流行率が安かった.

結論:

モニタリング中に検出されたVPCは,労力性 anginaを持つ男性の有意な予後マーカーです.
これらの発見は,胸痛患者のリスク分層化における電気生理学的評価の重要性を強調しています.
先発性心筋梗塞のないアンギナ患者は,筋動脈機能不全の指標の減少に関連して,よりよい予後を示します.

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