[10-year experience with the surgical treatment of ventricular tachycardia following acute myocardial infarction].
From 1980 to 1988 direct arrhythmia surgery was performed in 121 patients suffering from postinfarction drug-refractory ventricular tachycardia (VT). By 1986 the initially high in-hospital mortality of 26% (18 of 69 patients) had decreased to 1.9% (1 of 52 patients). The 3-year actuarial survival of patients operated since 1986 is 90%. From 1985 the results of surgical therapy of VT have improved: 86% of the patients remained arrhythmia-free without drugs; none died suddenly. Residual left ventricular function was related to the prognosis, but the interval between the last myocardial infarction and time of surgery or the surgical technique were not. These results demonstrate that direct surgery has become a valuable method in the treatment of postinfarction VT, at least in patients with sufficient residual left ventricular function.
Defauw
J J
JJ
Afd. Cardiopulmonale Chirurgie, St. Antonius Ziekenhuis, Nieuwegein.
van Hemel
N M
NM
Vermeulen
F E
FE
Kingma
J H
JH
Langemeyer
J J
JJ
de Bakker
J M
JM
D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000401:mortality; D005260:Female; D006334:Heart Function Tests; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D011183:Postoperative Complications / Q000401:mortality; D011788:Quality of Life; D016019:Survival Analysis; D013610:Tachycardia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*
Tien jaar ervaring met de chirurgische behandeling van ventriculaire tachycardieën na het acute myocardinfarct.