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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1991-10-29
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pubmed:abstractText |
In 37 (70%) of 53 patients with idiopathic ventricular tachycardia (VT), episodes were mainly related to exercise (group 1). These patients were younger (33 +/- 14 vs 44 +/- 18 years, p = 0.015) and more often had dizziness during VT (71 vs 40%, p = 0.003) than the 16 patients in whom VT was not exercise-related (group 2). Patients in group 1 needed cardioversion less often to terminate the arrhythmia (4 (11%) vs 6 (40%), group 2 [p = 0.04]). VT was initiated during exercise testing in 62% of patients in group 1 but in only 1 patient in group 2 (p = 0.0004). Induction of clinical VT during programmed stimulation was observed in a similar percentage in group 1 (49%) and group 2 (50%) patients. Isoproterenol infusion facilitated the induction of VT in 9 of 20 (45%) group 1 and in 2 of 8 (25%) group 2 patients (p = not significant). After a mean follow-up of 2.9 +/- 2.5 years, 8 (22%) group 1 patients and 5 (31%) group 2 had at least 1 episode of symptomatic VT. Only 1 patient died suddenly. Class III drugs were the most useful in preventing recurrences. Beta-blocking agents were of little value in both groups. Patients with VT and a structurally normal heart have a good prognosis despite recurrences of their arrhythmia. The relation of the arrhythmia to exercise has no prognostic implications.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0002-9149
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
68
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
897-900
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pubmed:dateRevised |
2008-11-21
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pubmed:meshHeading |
pubmed-meshheading:1927948-Adult,
pubmed-meshheading:1927948-Electrocardiography,
pubmed-meshheading:1927948-Exercise,
pubmed-meshheading:1927948-Exercise Test,
pubmed-meshheading:1927948-Female,
pubmed-meshheading:1927948-Heart Rate,
pubmed-meshheading:1927948-Heart Ventricles,
pubmed-meshheading:1927948-Humans,
pubmed-meshheading:1927948-Male,
pubmed-meshheading:1927948-Middle Aged,
pubmed-meshheading:1927948-Physical Exertion,
pubmed-meshheading:1927948-Prognosis,
pubmed-meshheading:1927948-Tachycardia
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pubmed:year |
1991
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pubmed:articleTitle |
Clinical and electrophysiologic characteristics of exercise-related idiopathic ventricular tachycardia.
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pubmed:affiliation |
Department of Cardiology, Academic Hospital Maastricht, University of Limburg, The Netherlands.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
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