Аннотация:
Aim. To study the possibility of using of heart rate turbulence (HRT) and deceleration capacity (DC) in the risk stratification of fatal events in patients with coronary artery disease (CAD) and implanted cardioverter defibrillator (ICD). Material and methods. The study included 45 patients with sinus rhythm and verified CAD, who had indications for ICD. A 24-hour ECG monitoring was performed with the evaluation of non-invasive predictors of sudden cardiac death. The minimum observation period was 30 months (the average observation period was 48 (42;51) months). Two endpoints were assessed: The onset of deaths and the justified ICD actuations. Results. During the observation period, 10 patients died (5 from progression of heart failure, 2 from recurrent myocardial infarction, 2 from non-cardiac pathology, and 1 died suddenly before implantation of a defibrillator). Arrhythmic events occurred in 13 people. Compared to the surviving patients, deceased patients’ mean DC value was signific
Мельник Н. В. Наталья Валерьевна 1988-
Царегородцев Д. А. Дмитрий Александрович 1973-
Mel`nik N. V. Natal`ya Valeryevna 1988-
Tsaregorodtsev D. A. Dmitrij Aleksandrovich 1973-
Turbulence and deceleration capacity of the heart rate in patients with coronary artery disease and implanted cardioverter defibrillator
Текст визуальный непосредственный
Российский кардиологический журнал
ООО "Силицея-Полиграф"
Т. 24, Вып. 7 С. 19-25
2019
Статья
Cardiac rhythm turbulence Cardioverter defibrillator Coronary artery disease Deceleration capacity of the heart rate Sudden cardiac death
Aim. To study the possibility of using of heart rate turbulence (HRT) and deceleration capacity (DC) in the risk stratification of fatal events in patients with coronary artery disease (CAD) and implanted cardioverter defibrillator (ICD). Material and methods. The study included 45 patients with sinus rhythm and verified CAD, who had indications for ICD. A 24-hour ECG monitoring was performed with the evaluation of non-invasive predictors of sudden cardiac death. The minimum observation period was 30 months (the average observation period was 48 (42;51) months). Two endpoints were assessed: The onset of deaths and the justified ICD actuations. Results. During the observation period, 10 patients died (5 from progression of heart failure, 2 from recurrent myocardial infarction, 2 from non-cardiac pathology, and 1 died suddenly before implantation of a defibrillator). Arrhythmic events occurred in 13 people. Compared to the surviving patients, deceased patients’ mean DC value was signific