{"id":{"repo_id":"greece","oai_identifier":"oai:10442/1076"},"canonical_url":"https://search.dev.ndltd.org/etd/greece/oai:10442/1076","repository":{"repo_id":"greece","name":"Greek National Archive of PhD Theses","base_url":"https://phdtheses.ekt.gr/eadd_oai/request"},"display":{"title":"ΜΗ ΦΑΡΜΑΚΟΛΟΓΙΚΗ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΗΣ ΚΟΙΛΙΑΚΗΣ ΤΑΧΥΚΑΡΔΙΑΣ: ΑΠΟΤΕΛΕΣΜΑΤΑ ΜΕ ΥΠΕΝΔΟΚΑΡΔΙΑ ΕΞΑΙΡΕΣΗ (ΚΑΘΟΔΗΓΟΥΜΕΝΗ ΑΠΟ ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΗ ΧΑΡΤΟΓΡΑΦΗΣΗ) ΚΑΙ ΕΜΦΥΤΕΥΣΗ ΑΥΤΟΜΑΤΟΥ ΑΠΙΝΙΔΩΤΗ","abstract":"MAPPING-GUIDED SUBENDOCARDIAL RESECTION (SER) (GROUP I, N=30) AND IMPLANTATION OF THE AUTOMATIC CARDIOVERTER-DEFIBRILLATOR (AICD) (GROUP II, N=18) WERE PERFORMED IN 48 PATIENTS, AGED 63+7 YEARS, WITH EJECTION FRACTION OF 32+11%, TO MANAGE DRUG- REFRACTORY VENTRICULAR TACHYCARDIA (VT) (N=33) OR FIBRILLATION (N=-15) MAINLY DUE TO CORONARY ARTERY DISEASE (N=46). IN GROUP I, ELECTROPHYSIOLOGIC MAPPING WAS COMPLETE IN 21 PATIENTS. SER WAS COMPLEMENTED BY LASER PHOTOCOAGULATION (4) OR CRYOABLATION (26). SURGICAL MORTALITY WAS 10%. POSTOPERATIVE ELECTROPHYSIOLOGIC STUDY WAS POSITIVE IN 8 PATIENTS (30%); AT A MEAN FOLLOW-UP OF 18_17MONTHS (1-52), ONE PATIENT DIED SUDDENLY AND 2 OF HEART FAILURE. TWO PATIENTS HAD VT RECURRENCES. THUS, 63% (17/27) OF PATIENTS WERE CURED WITH SURGERY ALONE, WHILE ANOTHER 26% (7/27) HAD THEIR VT CONTROLLED WITH DRUGS (5) OR AICD (2). INCOMPLETE MAPPING AND RECENT INFARCTION PREDICTED SURGICAL FAILURE. IN GROUP II, SURGICAL MORTALITY WAS 0% AND PERIOPERATIVE COMPLICATIONS TRANSIENT. OVER 10+7 MONTHS (1-20) THERE WERE NO DEATHS. ONE PATIENT DEVELOPED LOCAL INFECTION; 7PATIENTS HAD 19 APPROPRIATE SHOCKS FOR VT RECURRENCE, WHILE 3 PATIENTS HAD 7 INAPPROPRIATE SHOCKS. PREMATURE BATTERY DEPLETION OCCURED IN ONE PATIENT. IN CONCLUSION, SER HAD ACCEPTABLE SURGICAL MORTALITY (10%) AND ACHIEVED VT CONTROL IN89% OF THE SURVIVORS WITH OR WITHOUT DRUGS OR THE AICD. IMPLANTATION OF THE AICD REMAINED FREE OF MORTALITY OR SERIOUS COMPLICATION AND ACHIEVED CONTROL OF VT IN ALL PATIENTS.","abstract_html":"MAPPING-GUIDED SUBENDOCARDIAL RESECTION (SER) (GROUP I, N=30) AND IMPLANTATION OF THE AUTOMATIC CARDIOVERTER-DEFIBRILLATOR (AICD) (GROUP II, N=18) WERE PERFORMED IN 48 PATIENTS, AGED 63+7 YEARS, WITH EJECTION FRACTION OF 32+11%, TO MANAGE DRUG- REFRACTORY VENTRICULAR TACHYCARDIA (VT) (N=33) OR FIBRILLATION (N=-15) MAINLY DUE TO CORONARY ARTERY DISEASE (N=46). IN GROUP I, ELECTROPHYSIOLOGIC MAPPING WAS COMPLETE IN 21 PATIENTS. SER WAS COMPLEMENTED BY LASER PHOTOCOAGULATION (4) OR CRYOABLATION (26). SURGICAL MORTALITY WAS 10%. POSTOPERATIVE ELECTROPHYSIOLOGIC STUDY WAS POSITIVE IN 8 PATIENTS (30%); AT A MEAN FOLLOW-UP OF 18_17MONTHS (1-52), ONE PATIENT DIED SUDDENLY AND 2 OF HEART FAILURE. TWO PATIENTS HAD VT RECURRENCES. THUS, 63% (17/27) OF PATIENTS WERE CURED WITH SURGERY ALONE, WHILE ANOTHER 26% (7/27) HAD THEIR VT CONTROLLED WITH DRUGS (5) OR AICD (2). INCOMPLETE MAPPING AND RECENT INFARCTION PREDICTED SURGICAL FAILURE. IN GROUP II, SURGICAL MORTALITY WAS 0% AND PERIOPERATIVE COMPLICATIONS TRANSIENT. OVER 10+7 MONTHS (1-20) THERE WERE NO DEATHS. ONE PATIENT DEVELOPED LOCAL INFECTION; 7PATIENTS HAD 19 APPROPRIATE SHOCKS FOR VT RECURRENCE, WHILE 3 PATIENTS HAD 7 INAPPROPRIATE SHOCKS. PREMATURE BATTERY DEPLETION OCCURED IN ONE PATIENT. IN CONCLUSION, SER HAD ACCEPTABLE SURGICAL MORTALITY (10%) AND ACHIEVED VT CONTROL IN89% OF THE SURVIVORS WITH OR WITHOUT DRUGS OR THE AICD. IMPLANTATION OF THE AICD REMAINED FREE OF MORTALITY OR SERIOUS COMPLICATION AND ACHIEVED CONTROL OF VT IN ALL PATIENTS.","abstract_has_math":false,"creators":["Μανώλης, Αντώνης"],"institution":"University of Patras","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1989,"date_issued":"1989","date_published":"1989","updated_at":"2026-07-24T02:24:43Z","subjects":["ANEURYSMECTOMY","Cardiac arrhythmias","Coronary artery disease","Electrophysiology","NON-PHARMACOLOGIC TREATMENT OF ARRHYTHMIAS","SUBENDOCARDIAL RESECTION","Sudden death","Ventricular fibrillation","VENTRICULAR TACHYCARDIΑ","Αιφνίδιος θάνατος","ΑΝΕΥΡΥΣΜΑΤΕΚΤΟΜΗ","Ηλεκτροφυσιολογία","Καρδιακές αρρυθμίες","Κοιλιακή μαρμαρυγή","Κοιλιακή ταχυκαρδία","ΜΗ ΦΑΡΜΑΚΟΛΟΓΙΚΗ ΘΕΡΑΠΕΙΑ ΑΡΡΥΘΜΙΩΝ","Στεφανιαία νόσος","ΥΠΕΝΔΟΚΑΡΔΙΑ ΕΞΑΙΡΕΣΗ","Ιατρική και Επιστήμες Υγείας","Κλινική Ιατρική","Medical and Health Sciences","Clinical Medicine"],"languages":["gre"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["10.12681/eadd/1076"],"render_values":[{"text":"10.12681/eadd/1076","href":"https://doi.org/10.12681/eadd/1076","code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/10442/hedi/1076","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Μανώλης, Αντώνης"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["1989"]},{"key":"dc:publisher","label":"Institution","values":["University of Patras","Πανεπιστήμιο Πατρών"]},{"key":"dc:type","label":"Dc Type","values":["PhD Thesis"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["ANEURYSMECTOMY","Cardiac arrhythmias","Coronary artery disease","Electrophysiology","NON-PHARMACOLOGIC TREATMENT OF ARRHYTHMIAS","SUBENDOCARDIAL RESECTION","Sudden death","Ventricular fibrillation","VENTRICULAR TACHYCARDIΑ","Αιφνίδιος θάνατος","ΑΝΕΥΡΥΣΜΑΤΕΚΤΟΜΗ","Ηλεκτροφυσιολογία","Καρδιακές αρρυθμίες","Κοιλιακή μαρμαρυγή","Κοιλιακή ταχυκαρδία","ΜΗ ΦΑΡΜΑΚΟΛΟΓΙΚΗ ΘΕΡΑΠΕΙΑ ΑΡΡΥΘΜΙΩΝ","Στεφανιαία νόσος","ΥΠΕΝΔΟΚΑΡΔΙΑ ΕΞΑΙΡΕΣΗ","Ιατρική και Επιστήμες Υγείας","Κλινική Ιατρική","Medical and Health Sciences","Clinical Medicine"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["gre"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["10.12681/eadd/1076","http://hdl.handle.net/10442/hedi/1076"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["MAPPING-GUIDED SUBENDOCARDIAL RESECTION (SER) (GROUP I, N=30) AND IMPLANTATION OF THE AUTOMATIC CARDIOVERTER-DEFIBRILLATOR (AICD) (GROUP II, N=18) WERE PERFORMED IN 48 PATIENTS, AGED 63+7 YEARS, WITH EJECTION FRACTION OF 32+11%, TO MANAGE DRUG- REFRACTORY VENTRICULAR TACHYCARDIA (VT) (N=33) OR FIBRILLATION (N=-15) MAINLY DUE TO CORONARY ARTERY DISEASE (N=46). IN GROUP I, ELECTROPHYSIOLOGIC MAPPING WAS COMPLETE IN 21 PATIENTS. SER WAS COMPLEMENTED BY LASER PHOTOCOAGULATION (4) OR CRYOABLATION (26). SURGICAL MORTALITY WAS 10%. POSTOPERATIVE ELECTROPHYSIOLOGIC STUDY WAS POSITIVE IN 8 PATIENTS (30%); AT A MEAN FOLLOW-UP OF 18_17MONTHS (1-52), ONE PATIENT DIED SUDDENLY AND 2 OF HEART FAILURE. TWO PATIENTS HAD VT RECURRENCES. THUS, 63% (17/27) OF PATIENTS WERE CURED WITH SURGERY ALONE, WHILE ANOTHER 26% (7/27) HAD THEIR VT CONTROLLED WITH DRUGS (5) OR AICD (2). INCOMPLETE MAPPING AND RECENT INFARCTION PREDICTED SURGICAL FAILURE. IN GROUP II, SURGICAL MORTALITY WAS 0% AND PERIOPERATIVE COMPLICATIONS TRANSIENT. OVER 10+7 MONTHS (1-20) THERE WERE NO DEATHS. ONE PATIENT DEVELOPED LOCAL INFECTION; 7PATIENTS HAD 19 APPROPRIATE SHOCKS FOR VT RECURRENCE, WHILE 3 PATIENTS HAD 7 INAPPROPRIATE SHOCKS. PREMATURE BATTERY DEPLETION OCCURED IN ONE PATIENT. IN CONCLUSION, SER HAD ACCEPTABLE SURGICAL MORTALITY (10%) AND ACHIEVED VT CONTROL IN89% OF THE SURVIVORS WITH OR WITHOUT DRUGS OR THE AICD. IMPLANTATION OF THE AICD REMAINED FREE OF MORTALITY OR SERIOUS COMPLICATION AND ACHIEVED CONTROL OF VT IN ALL PATIENTS.","ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΑ ΚΑΘΟΔΗΓΟΥΜΕΝΗ ΥΠΕΝΔΟΚΑΡΔΙΑ ΕΞΑΙΡΕΣΗ (ΥΕΕ) (ΟΜΑΔΑ Ι, V=30) ΚΑΙ ΕΜΦΥΤΕΥΣΗ ΑΥΤΟΜΑΤΟΥ ΑΠΙΝΙΔΩΤΗ (ΟΜΑΔΑ ΙΙ, V=18) ΕΚΤΕΛΕΣΤΗΚΑΝ ΣΕ 48 ΑΡΡΩΣΤΟΥΣ, ΗΛΙΚΙΑΣ 63+7 ΕΤΩΝ ΚΑΙ ΜΕ ΚΛΑΣΜΑ ΕΞΩΘΗΣΕΩΣ 32+11%Α, ΓΙΑ ΤΟΝ ΕΛΕΓΧΟ ΑΝΘΕΚΤΙΚΗΣ ΣΤΑ ΦΑΡΜΑΚΑ ΚΟΙΛΙΑΚΗΣ ΤΑΧΥΚΑΡΔΙΑΣ (V=33) 'Η ΜΑΡΜΑΡΥΓΗΣ (V=15) ΠΟΥ ΟΦΕΙΛΟΤΑΝ ΚΥΡΙΩΣ ΣΕ ΣΤΑΦΑΝΙΑΙΑ ΝΟΣΟ (V=46). ΣΤΗΝ ΟΜΑΔΑ Ι, ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΗ ΧΑΡΤΟΓΡΑΦΗΣΗ ΗΤΑΝΠΛΗΡΗΣ ΣΕ 21 ΑΡΡΩΣΤΟΥΣ. Η ΥΕΕ ΣΥΜΠΛΗΡΩΘΗΚΕ ΜΕ ΦΩΤΟΠΗΞΙΑ LASER (4) 'Η ΚΡΥΟΘΕΡΜΙΑ (26). Η ΧΕΙΡΟΥΡΓΙΚΗ ΘΝΗΤΟΤΗΤΑ ΗΤΑΝ 10%. Η ΜΕΤΕΓΧΕΙΡΗΤΙΚΗ ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΗ ΜΕΛΕΤΗ ΗΤΑΝ ΑΠΙΝΙΔΩΤΗ. ΜΕΤΑ ΑΠΟ 18+17 ΜΗΝΕΣ (1 -52) ΕΝΑΣ ΑΡΡΩΣΤΟΣ ΑΠΕΘΑΝΕ ΑΙΦΝΙΔΙΩΣ ΚΑΙ 2 ΑΠΟ ΚΑΡΔΙΑΚΗ ΑΝΕΠΑΡΚΕΙΑ. ΔΥΟ ΑΡΡΩΣΤΟΙ ΕΙΧΑΝ ΥΠΟΤΡΟΠΕΣ ΑΡΡΥΘΜΙΑΣ. ΕΤΣΙ63% (17/27) ΘΕΡΑΠΕΥΤΗΚΑΝ ΜΕ ΤΗΝ ΕΓΧΕΙΡΗΣΗ ΜΟΝΟΝ, ΕΝΩ ΑΛΛΟΙ 26% (7/27) ΕΙΧΑΝ ΕΠΙΤΥΧΗ ΕΛΕΓΧΟ ΤΗΣ ΑΡΡΥΘΜΙΑΣ ΜΕ ΦΑΡΜΑΚΑ (5) 'Η ΤΟΝ ΑΠΙΝΙΔΩΤΗ (2). ΑΝΕΠΑΡΚΗΣ ΧΑΡΤΟΓΡΑΦΗΣΗ ΚΑΙ ΠΡΟΣΦΑΤΟ ΕΜΦΡΑΓΜΑ (<2 ΜΗΝΕΣ) ΠΡΟΒΛΕΨΑΝ ΑΠΟΤΥΧΙΑ ΤΗΣ ΥΕΕ. ΣΤΗΝ ΟΜΑΔΑΙΙ, Η ΕΓΧΕΙΡΗΤΙΚΗ ΘΝΗΤΟΤΗΤΑ ΗΤΑΝ 0% ΚΑΙ ΟΙ ΠΕΡΙΕΓΧΕΙΡΗΤΙΚΕΣ ΕΠΙΠΛΟΚΕΣ ΠΑΡΟΔΙΚΕΣ. ΜΕΤΑ ΑΠΟ 10+7 ΜΗΝΕΣ (1-20) ΔΕΝ ΣΗΜΕΙΩΘΗΚΑΝ ΘΑΝΑΤΟΙ. ΕΝΑΣ ΑΡΡΩΣΤΟΣ ΕΙΧΕ ΤΟΠΙΚΗ ΜΟΛΥΝΣΗ. 7 ΑΡΡΩΣΤΟΙ ΕΙΧΑΝ 7 ΑΚΑΤΑΛΛΗΛΕΣ ΑΠΙΝΙΔΩΣΕΙΣ. ΠΡΟΩΡΗ ΕΞΑΝΤΛΗΣΗ ΤΗΣ ΜΠΑΤΑΡΙΑΣ ΕΠΗΛΘΕ ΣΕ ΕΝΑ ΑΡΡΩΣΤΟ. ΣΕ ΣΥΜΠΕΡΑΣΜΑ Η ΥΕΕ ΕΙΧΕ ΑΠΟΔΕΚΤΗ ΧΕΙΡΟΥΡΓΙΚΗ ΘΝΗΤΟΤΗΤΑ (10%) ΚΑΙ ΕΘΕΣΕ ΥΠΟ ΕΛΕΓΧΟ ΤΗΝ ΚΟΙΛΙΑΚΗ ΤΑΧΥΚΑΡΔΙΑ ΣΕ 89% ΤΩΝ ΕΠΙΖΩΝΤΩΝ ΜΕ 'Η ΧΩΡΙΣ ΦΑΡΜΑΚΑ 'Η ΑΠΙΝΙΔΩΤΗ. Η ΕΜΦΥΤΕΥΣΗ ΤΟΥ ΑΥΤΟΜΑΤΟΥ ΑΠΙΝΙΔΩΤΗ ΠΑΡΕΜΕΙΝΕΕΛΕΥΘΕΡΗ ΘΝΗΤΟΤΗΤΑΣ 'Η ΣΟΒΑΡΩΝ ΕΠΙΠΛΟΚΩΝ ΚΑΙ ΕΘΕΣΕ ΥΠΟ ΕΛΕΓΧΟ ΤΗΝ ΚΟΙΛΙΑΚΗ ΤΑΧΥΚΑΡΔΙΑ ΣΕ ΟΛΟΥΣ ΤΟΥΣ ΑΡΡΩΣΤΟΥΣ."]},{"key":"dc:title","label":"Title","values":["ΜΗ ΦΑΡΜΑΚΟΛΟΓΙΚΗ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΗΣ ΚΟΙΛΙΑΚΗΣ ΤΑΧΥΚΑΡΔΙΑΣ: ΑΠΟΤΕΛΕΣΜΑΤΑ ΜΕ ΥΠΕΝΔΟΚΑΡΔΙΑ ΕΞΑΙΡΕΣΗ (ΚΑΘΟΔΗΓΟΥΜΕΝΗ ΑΠΟ ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΗ ΧΑΡΤΟΓΡΑΦΗΣΗ) ΚΑΙ ΕΜΦΥΤΕΥΣΗ ΑΥΤΟΜΑΤΟΥ ΑΠΙΝΙΔΩΤΗ","NON-PHARMACOLOGIC MANAGEMENT OF VENTRICULAR TACHYCARDIA: RESULTS WITH MAPPING-GUIDED SUBENDOCARDIAL RESECTION AND IMPLANTATION OF THE AUTOMATIC CARDIOVERTER-DEFIBRILLATOR"]}]}],"canonical_facts":{"dc:creator":["Μανώλης, Αντώνης"],"dc:date":["1989"],"dc:description":["MAPPING-GUIDED SUBENDOCARDIAL RESECTION (SER) (GROUP I, N=30) AND IMPLANTATION OF THE AUTOMATIC CARDIOVERTER-DEFIBRILLATOR (AICD) (GROUP II, N=18) WERE PERFORMED IN 48 PATIENTS, AGED 63+7 YEARS, WITH EJECTION FRACTION OF 32+11%, TO MANAGE DRUG- REFRACTORY VENTRICULAR TACHYCARDIA (VT) (N=33) OR FIBRILLATION (N=-15) MAINLY DUE TO CORONARY ARTERY DISEASE (N=46). IN GROUP I, ELECTROPHYSIOLOGIC MAPPING WAS COMPLETE IN 21 PATIENTS. SER WAS COMPLEMENTED BY LASER PHOTOCOAGULATION (4) OR CRYOABLATION (26). SURGICAL MORTALITY WAS 10%. POSTOPERATIVE ELECTROPHYSIOLOGIC STUDY WAS POSITIVE IN 8 PATIENTS (30%); AT A MEAN FOLLOW-UP OF 18_17MONTHS (1-52), ONE PATIENT DIED SUDDENLY AND 2 OF HEART FAILURE. TWO PATIENTS HAD VT RECURRENCES. THUS, 63% (17/27) OF PATIENTS WERE CURED WITH SURGERY ALONE, WHILE ANOTHER 26% (7/27) HAD THEIR VT CONTROLLED WITH DRUGS (5) OR AICD (2). INCOMPLETE MAPPING AND RECENT INFARCTION PREDICTED SURGICAL FAILURE. IN GROUP II, SURGICAL MORTALITY WAS 0% AND PERIOPERATIVE COMPLICATIONS TRANSIENT. OVER 10+7 MONTHS (1-20) THERE WERE NO DEATHS. ONE PATIENT DEVELOPED LOCAL INFECTION; 7PATIENTS HAD 19 APPROPRIATE SHOCKS FOR VT RECURRENCE, WHILE 3 PATIENTS HAD 7 INAPPROPRIATE SHOCKS. PREMATURE BATTERY DEPLETION OCCURED IN ONE PATIENT. IN CONCLUSION, SER HAD ACCEPTABLE SURGICAL MORTALITY (10%) AND ACHIEVED VT CONTROL IN89% OF THE SURVIVORS WITH OR WITHOUT DRUGS OR THE AICD. IMPLANTATION OF THE AICD REMAINED FREE OF MORTALITY OR SERIOUS COMPLICATION AND ACHIEVED CONTROL OF VT IN ALL PATIENTS.","ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΑ ΚΑΘΟΔΗΓΟΥΜΕΝΗ ΥΠΕΝΔΟΚΑΡΔΙΑ ΕΞΑΙΡΕΣΗ (ΥΕΕ) (ΟΜΑΔΑ Ι, V=30) ΚΑΙ ΕΜΦΥΤΕΥΣΗ ΑΥΤΟΜΑΤΟΥ ΑΠΙΝΙΔΩΤΗ (ΟΜΑΔΑ ΙΙ, V=18) ΕΚΤΕΛΕΣΤΗΚΑΝ ΣΕ 48 ΑΡΡΩΣΤΟΥΣ, ΗΛΙΚΙΑΣ 63+7 ΕΤΩΝ ΚΑΙ ΜΕ ΚΛΑΣΜΑ ΕΞΩΘΗΣΕΩΣ 32+11%Α, ΓΙΑ ΤΟΝ ΕΛΕΓΧΟ ΑΝΘΕΚΤΙΚΗΣ ΣΤΑ ΦΑΡΜΑΚΑ ΚΟΙΛΙΑΚΗΣ ΤΑΧΥΚΑΡΔΙΑΣ (V=33) 'Η ΜΑΡΜΑΡΥΓΗΣ (V=15) ΠΟΥ ΟΦΕΙΛΟΤΑΝ ΚΥΡΙΩΣ ΣΕ ΣΤΑΦΑΝΙΑΙΑ ΝΟΣΟ (V=46). ΣΤΗΝ ΟΜΑΔΑ Ι, ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΗ ΧΑΡΤΟΓΡΑΦΗΣΗ ΗΤΑΝΠΛΗΡΗΣ ΣΕ 21 ΑΡΡΩΣΤΟΥΣ. Η ΥΕΕ ΣΥΜΠΛΗΡΩΘΗΚΕ ΜΕ ΦΩΤΟΠΗΞΙΑ LASER (4) 'Η ΚΡΥΟΘΕΡΜΙΑ (26). Η ΧΕΙΡΟΥΡΓΙΚΗ ΘΝΗΤΟΤΗΤΑ ΗΤΑΝ 10%. Η ΜΕΤΕΓΧΕΙΡΗΤΙΚΗ ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΗ ΜΕΛΕΤΗ ΗΤΑΝ ΑΠΙΝΙΔΩΤΗ. ΜΕΤΑ ΑΠΟ 18+17 ΜΗΝΕΣ (1 -52) ΕΝΑΣ ΑΡΡΩΣΤΟΣ ΑΠΕΘΑΝΕ ΑΙΦΝΙΔΙΩΣ ΚΑΙ 2 ΑΠΟ ΚΑΡΔΙΑΚΗ ΑΝΕΠΑΡΚΕΙΑ. ΔΥΟ ΑΡΡΩΣΤΟΙ ΕΙΧΑΝ ΥΠΟΤΡΟΠΕΣ ΑΡΡΥΘΜΙΑΣ. ΕΤΣΙ63% (17/27) ΘΕΡΑΠΕΥΤΗΚΑΝ ΜΕ ΤΗΝ ΕΓΧΕΙΡΗΣΗ ΜΟΝΟΝ, ΕΝΩ ΑΛΛΟΙ 26% (7/27) ΕΙΧΑΝ ΕΠΙΤΥΧΗ ΕΛΕΓΧΟ ΤΗΣ ΑΡΡΥΘΜΙΑΣ ΜΕ ΦΑΡΜΑΚΑ (5) 'Η ΤΟΝ ΑΠΙΝΙΔΩΤΗ (2). ΑΝΕΠΑΡΚΗΣ ΧΑΡΤΟΓΡΑΦΗΣΗ ΚΑΙ ΠΡΟΣΦΑΤΟ ΕΜΦΡΑΓΜΑ (<2 ΜΗΝΕΣ) ΠΡΟΒΛΕΨΑΝ ΑΠΟΤΥΧΙΑ ΤΗΣ ΥΕΕ. ΣΤΗΝ ΟΜΑΔΑΙΙ, Η ΕΓΧΕΙΡΗΤΙΚΗ ΘΝΗΤΟΤΗΤΑ ΗΤΑΝ 0% ΚΑΙ ΟΙ ΠΕΡΙΕΓΧΕΙΡΗΤΙΚΕΣ ΕΠΙΠΛΟΚΕΣ ΠΑΡΟΔΙΚΕΣ. ΜΕΤΑ ΑΠΟ 10+7 ΜΗΝΕΣ (1-20) ΔΕΝ ΣΗΜΕΙΩΘΗΚΑΝ ΘΑΝΑΤΟΙ. ΕΝΑΣ ΑΡΡΩΣΤΟΣ ΕΙΧΕ ΤΟΠΙΚΗ ΜΟΛΥΝΣΗ. 7 ΑΡΡΩΣΤΟΙ ΕΙΧΑΝ 7 ΑΚΑΤΑΛΛΗΛΕΣ ΑΠΙΝΙΔΩΣΕΙΣ. ΠΡΟΩΡΗ ΕΞΑΝΤΛΗΣΗ ΤΗΣ ΜΠΑΤΑΡΙΑΣ ΕΠΗΛΘΕ ΣΕ ΕΝΑ ΑΡΡΩΣΤΟ. ΣΕ ΣΥΜΠΕΡΑΣΜΑ Η ΥΕΕ ΕΙΧΕ ΑΠΟΔΕΚΤΗ ΧΕΙΡΟΥΡΓΙΚΗ ΘΝΗΤΟΤΗΤΑ (10%) ΚΑΙ ΕΘΕΣΕ ΥΠΟ ΕΛΕΓΧΟ ΤΗΝ ΚΟΙΛΙΑΚΗ ΤΑΧΥΚΑΡΔΙΑ ΣΕ 89% ΤΩΝ ΕΠΙΖΩΝΤΩΝ ΜΕ 'Η ΧΩΡΙΣ ΦΑΡΜΑΚΑ 'Η ΑΠΙΝΙΔΩΤΗ. Η ΕΜΦΥΤΕΥΣΗ ΤΟΥ ΑΥΤΟΜΑΤΟΥ ΑΠΙΝΙΔΩΤΗ ΠΑΡΕΜΕΙΝΕΕΛΕΥΘΕΡΗ ΘΝΗΤΟΤΗΤΑΣ 'Η ΣΟΒΑΡΩΝ ΕΠΙΠΛΟΚΩΝ ΚΑΙ ΕΘΕΣΕ ΥΠΟ ΕΛΕΓΧΟ ΤΗΝ ΚΟΙΛΙΑΚΗ ΤΑΧΥΚΑΡΔΙΑ ΣΕ ΟΛΟΥΣ ΤΟΥΣ ΑΡΡΩΣΤΟΥΣ."],"dc:identifier":["10.12681/eadd/1076","http://hdl.handle.net/10442/hedi/1076"],"dc:language":["gre"],"dc:publisher":["University of Patras","Πανεπιστήμιο Πατρών"],"dc:subject":["ANEURYSMECTOMY","Cardiac arrhythmias","Coronary artery disease","Electrophysiology","NON-PHARMACOLOGIC TREATMENT OF ARRHYTHMIAS","SUBENDOCARDIAL RESECTION","Sudden death","Ventricular fibrillation","VENTRICULAR TACHYCARDIΑ","Αιφνίδιος θάνατος","ΑΝΕΥΡΥΣΜΑΤΕΚΤΟΜΗ","Ηλεκτροφυσιολογία","Καρδιακές αρρυθμίες","Κοιλιακή μαρμαρυγή","Κοιλιακή ταχυκαρδία","ΜΗ ΦΑΡΜΑΚΟΛΟΓΙΚΗ ΘΕΡΑΠΕΙΑ ΑΡΡΥΘΜΙΩΝ","Στεφανιαία νόσος","ΥΠΕΝΔΟΚΑΡΔΙΑ ΕΞΑΙΡΕΣΗ","Ιατρική και Επιστήμες Υγείας","Κλινική Ιατρική","Medical and Health Sciences","Clinical Medicine"],"dc:title":["ΜΗ ΦΑΡΜΑΚΟΛΟΓΙΚΗ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΗΣ ΚΟΙΛΙΑΚΗΣ ΤΑΧΥΚΑΡΔΙΑΣ: ΑΠΟΤΕΛΕΣΜΑΤΑ ΜΕ ΥΠΕΝΔΟΚΑΡΔΙΑ ΕΞΑΙΡΕΣΗ (ΚΑΘΟΔΗΓΟΥΜΕΝΗ ΑΠΟ ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΗ ΧΑΡΤΟΓΡΑΦΗΣΗ) ΚΑΙ ΕΜΦΥΤΕΥΣΗ ΑΥΤΟΜΑΤΟΥ ΑΠΙΝΙΔΩΤΗ","NON-PHARMACOLOGIC MANAGEMENT OF VENTRICULAR TACHYCARDIA: RESULTS WITH MAPPING-GUIDED SUBENDOCARDIAL RESECTION AND IMPLANTATION OF THE AUTOMATIC CARDIOVERTER-DEFIBRILLATOR"],"dc:type":["PhD Thesis"]},"updated_at":"2026-07-24T02:24:43Z"}