[Cardiac arrhythmia in patients with chronic obstructive lung disease and therapy].
In 38 patients with chronic obstructive lung disease (COLD), lung function tests, blood gas analysis, catheterisation examination of the right heart, and long-term (Holter) ECG were performed. In comparison with normal subjects, all the patients had a higher mean 24-hour heart rate of 97 +/- 11/minute, and a disturbance of the physiological day/night rhythmicity. Seventeen patients (group I) revealed no major arrhythmias (Lown I to III). More than 50 per cent of the patients (group II) were found to have complex arrhythmias (Lown IV), together with an elevated incidence of polymorphic ventricular and superventricular extrasystoles. A significant correlation of the arrhythmias with the severity of the obstruction or pulmonary hypertension was not observed. Only the long-term follow-up of these patients will provide us with information about the prognostic significance of the complex arrhythmias and about indications for anti-arrhythmic treatment.
Klitzke
A K
AK
Kreiskrankenhaus Lenglern, Universität Göttingen.
Criee
C P
CP
Bethge
K P
KP
Bethge
D
D
Laier-Groeneveld
G
G
Hüttemann
U
U
D001993:Bronchodilator Agents / Q000008:administration & dosage / Q000009:adverse effects*; D015716:Electrocardiography, Ambulatory / Q000187:drug effects; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D008173:Lung Diseases, Obstructive / Q000188:drug therapy / Q000503:physiopathology*; D013610:Tachycardia / Q000503:physiopathology*
D001993:Bronchodilator Agents
Herzrhythmusstörungen bei Patienten mit chronisch obstruktiven Lungenerkrankungen unter Therapie.