title: [Life expectancy after a first attack of sustained monomorphic ventricular tachycardia. Apropos of 295 patients with a follow-up of more than 5 years].
abstract: Analysis of actuarial cardiac mortality of 295 patients after a first attack of sustained monomorphic ventricular tachycardia followed up for an average of 5.1 years showed that: the aetiology was the main prognostic factor. Patients with a normal left ventricle had a zero 5 year mortality rate (normal heart) or 3% (arrhythmogenic right ventricular dysplasia) compared with 24% in patients with cardiomyopathy and 40% with myocardial infarction: p less than 0.01. Similar results were obtained if sudden death was considered; in patients with left-ventricular disease, the role of pump function assessed by the ejection fraction was essential: the 5 year mortality was 14.5% (cardiomyopathy) and 30% (myocardial infarction) if this was greater than 0.3 compared to 43% and 51% respectively when less than 0.3 (p less than 0.01); the heart rate of spontaneous ventricular tachycardia and that of tachycardia induced during endocavitary investigation had no influence on the mortality. However, the mortality following a first tachycardia with syncope was higher than that following a well tolerated tachycardia (p less than 0.5 if the ejection fraction less than or equal to 0.3 and p less than 0.001 if greater than 0.3).(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Clinique cardiologique, hôpital Lariboisière, Paris.
authors.forename: J F
authors.initials: JF
authors.lastname: Leclercq
authors.forename: A
authors.initials: A
authors.lastname: Leenhardt
authors.forename: I
authors.initials: I
authors.lastname: Ruta
authors.forename: B
authors.initials: B
authors.lastname: Cauchemez
authors.forename: F
authors.initials: F
authors.lastname: Chouty
authors.forename: I
authors.initials: I
authors.lastname: Denjoy
authors.forename: P
authors.initials: P
authors.lastname: Maison-Blanche
authors.forename: P
authors.initials: P
authors.lastname: Coumel
authors.forename: R
authors.initials: R
authors.lastname: Slama
mesh_terms: D000206:Actuarial Analysis; D000328:Adult; D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D005500:Follow-Up Studies; D006352:Heart Ventricles; D006801:Humans; D008017:Life Expectancy; D008875:Middle Aged; D011379:Prognosis; D012008:Recurrence; D012189:Retrospective Studies; D015996:Survival Rate; D013610:Tachycardia / Q000188:drug therapy / Q000401:mortality* / Q000503:physiopathology; D016277:Ventricular Function, Left
chemical_list: D000889:Anti-Arrhythmia Agents
vernacular_title: Espérance de vie après une première crise de tachycardie ventriculaire monomorphe soutenue. A propos de 295 patients suivis plus de 5 ans.