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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1989-8-23
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pubmed:abstractText |
To assess the efficacy and predictability of solitary beta-adrenergic blocker (BB) therapy for ventricular tachyarrhythmia (VT), 30 patients (16 men and 14 women) with a mean age of 55 years, who initially had sustained ventricular tachycardia (70%) or ventricular fibrillation (30%), were studied. Results of baseline arrhythmia tests showed VT on ECG monitoring in 57% of the patients, during exercise in 50%, induced by programmed stimulation in 69%, increasing to 86% during isoproterenol. BB therapy prevented inducible VT during programmed stimulation in 37% of the patients, prevented VT on ECG monitoring in 54%, and prevented VT during exercise in 83%. Long-term BB therapy was given to 24 of 30 patients, whereas six other patients with hemodynamically unstable VT during BB therapy received other long-term treatment. During a mean follow-up of 824 days, 6 of 24 patients had recurrent VT. BB therapy was discontinued in two patients because of side effects. Long-term success was predicted by left ventricular ejection fraction greater than 45%, absence of coronary disease, and age less than 60 years (all p less than 0.02). Neither suppression of arrhythmia during exercise testing, nor results of programmed stimulation or ECG monitoring were predictive of outcome. Thus beta-adrenergic blockers can be effective as solitary antiarrhythmic therapy in selected patients with VT.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0002-8703
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
118
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
272-80
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2568745-Adrenergic beta-Antagonists,
pubmed-meshheading:2568745-Adult,
pubmed-meshheading:2568745-Aged,
pubmed-meshheading:2568745-Arrhythmias, Cardiac,
pubmed-meshheading:2568745-Cardiac Pacing, Artificial,
pubmed-meshheading:2568745-Electrocardiography,
pubmed-meshheading:2568745-Exercise Test,
pubmed-meshheading:2568745-Female,
pubmed-meshheading:2568745-Heart Ventricles,
pubmed-meshheading:2568745-Humans,
pubmed-meshheading:2568745-Male,
pubmed-meshheading:2568745-Middle Aged,
pubmed-meshheading:2568745-Recurrence,
pubmed-meshheading:2568745-Tachycardia
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pubmed:year |
1989
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pubmed:articleTitle |
Antiarrhythmic efficacy of solitary beta-adrenergic blockade for patients with sustained ventricular tachyarrhythmias.
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pubmed:affiliation |
Department of Medicine, University of California, Irvine, Orange.
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pubmed:publicationType |
Journal Article
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