Linked Life Data

7421287

Source:http://linkedlifedata.com/resource/pubmed/id/7421287

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1980-12-16
pubmed:abstractText
Nineteen patients undergoing a standard aneurysmectomy for recurrent ventricular tachycardia are compared with 30 patients unergoing electrophysiologically directed endocardial excision and aneurysmectomy. The electrophysiologically nondirected and electrophysiologically directed groups were aneurysmectomy. The electrophysiologically nondirected and electrophysiologically directed groups were similar for age (56.8 versus 57.5 years), interval after myocardial infarction (26.2 versus 28.3 months), preoperative episodes of ventricular tachycardia (13.2 versus 19.7), cardiac index (2.95 versus 2.79 L/min/m2), left ventricular end-diastolic pressure (15.5 versus 18.2 torr), and ejection fraction (34 versus 28%). Operative mortality rate in the nondirected group was 42%, with all but one of the deaths resulting from uncontrolled postoperative ventricular tachycardia. In the nondirected group 78.9% (15/19) of patients had recurrent ventricular tachycardia postoperatively. The operative mortality rate in the electrophysiologically directed group was 6.7% (2/30), and both patients died of left ventricular failure. Three patients (10%) have ventricular tachycardia inducible with programmed stimulation. We conclude that standard left ventricular aneurysmectomy is not an effective operation for recurrent sustained ventricular tachycardia. Conversely, electrophysiologically directed endocardial excision characteristically controls the arrhythmia at an acceptable surgical risk.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0022-5223
pubmed:author
pubmed:issnType
Print
pubmed:volume
80
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
527-34
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed:year
1980
pubmed:articleTitle
Comparison of standard aneurysmectomy and aneurysmectomy with directed endocardial resection for the treatment of recurrent sustained ventricular tachycardia.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S.