Aortic valve replacement in patients with aortic stenosis. Effect on cardiac arrhythmias.
Twenty-four hour ambulatory electrocardiography was performed on 28 patients with aortic stenosis without significant coronary artery disease or aortic regurgitation. Compared to a control group of subjects with normal hearts proven by noninvasive and invasive testing, patients with aortic stenosis had higher (p = 0.0001) frequency of premature ventricular contractions (PVC) (3144 +/- 1425 versus 17 +/- 46) per 24 hours and higher (p = 0.001) prevalence of PVC presence (27 of 28 patients versus 39 of 101 normal), and complexity (19 of 28 patients versus 4 of 101 normal). Weak correlations of complexity with left ventricular end-diastolic pressure (r = 0.30) and ejection fraction (r = -0.25) were noted. No correlation of ventricular ectopic activity with peak systolic gradient, aortic valve area, or peak left ventricular systolic pressure was noted. Repeat 24-hour ambulatory electrocardiography performed on 13 patients three months after successful aortic valve replacement did not show significant effect of aortic valve replacement on PVC frequency or complexity.
D000328:Adult; D000368:Aged; D001021:Aortic Valve; D001024:Aortic Valve Stenosis / Q000503:physiopathology / Q000601:surgery*; D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000503:physiopathology; D004562:Electrocardiography / Q000379:methods; D005260:Female; D006350:Heart Valve Prosthesis; D006352:Heart Ventricles / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009200:Myocardial Contraction; D011184:Postoperative Period