[Ventricular arrhythmia and late potentials in patients with hypertrophic cardiomyopathy].
Holter monitoring (48 h) and registration of signal-averaged late potentials (method of Simson, high pass filter 40 Hz) were performed in outpatiens with hypertrophic cardiomyopathy. A prevalence of spontaneous ventricular arrhythmias could be determined in 51 patients; the results of 45 patients not taking antiarrhythmic drugs are presented here. 96% of these showed ventricular premature beats, 76% had multiform extrasystoles, 27% showed pairs of ectopic beats and 20% had runs of ventricular tachycardia (more than 3 QRS complexes). Absolute counts of premature beats were low in most patients, but important interindividual differences could be observed: M = 34 extrasystoles/24 h (0-4943). Ventricular tachycardias were of short duration (maximum 11 QRS) with heart rate ranging from 120 to 200/min. All patients were asymptomatic during tachycardia. Signal-averaged late potentials could be registered in 30 patients, 28 of them without antiarrhythmic drug therapy. Mean QRS duration (QRSdur) was 108 +/- 12 ms, mean duration of low amplitude signals (less than 40 microV) in the terminal portion of the QRS (LAdur) was 27 +/- 13 ms, and mean amplitude of the last 40 ms of the filtered QRS (LAamp) was 65 +/- 43 microV. A patient was considered to show late potentials if two of the following criteria were present: QRSdur greater than 120 ms, LAdur greater than or equal to 40 ms, LAamp less than 20 microV. This was found in four patients.(ABSTRACT TRUNCATED AT 250 WORDS)
Fleischmann
C
C
Medizinische Universitätsklinik Göttingen, Abteilung Kardologie und Pulmonologie.
Gonska
B D
BD
Brune
S
S
Sold
G
G
Kreuzer
H
H
D000328:Adult; D000368:Aged; D002037:Bundle-Branch Block / Q000175:diagnosis; D005117:Cardiac Complexes, Premature / Q000175:diagnosis; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis* / Q000503:physiopathology; D003645:Death, Sudden / Q000209:etiology; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation*; D005260:Female; D006352:Heart Ventricles / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012815:Signal Processing, Computer-Assisted; D013610:Tachycardia / Q000175:diagnosis* / Q000503:physiopathology
Ventrikuläre Rhythmusstörungen und Spätpotentiale bei Patienten mit hypertropher Kardiomyopathie.