ΜΗ ΦΑΡΜΑΚΟΛΟΓΙΚΗ ΑΝΤΙΜΕΤΩΠΙΣΗ ΤΗΣ ΚΟΙΛΙΑΚΗΣ ΤΑΧΥΚΑΡΔΙΑΣ: ΑΠΟΤΕΛΕΣΜΑΤΑ ΜΕ ΥΠΕΝΔΟΚΑΡΔΙΑ ΕΞΑΙΡΕΣΗ (ΚΑΘΟΔΗΓΟΥΜΕΝΗ ΑΠΟ ΗΛΕΚΤΡΟΦΥΣΙΟΛΟΓΙΚΗ ΧΑΡΤΟΓΡΑΦΗΣΗ) ΚΑΙ ΕΜΦΥΤΕΥΣΗ ΑΥΤΟΜΑΤΟΥ ΑΠΙΝΙΔΩΤΗ

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.

Grantor dc:publisher

University of Patras

Year dc:date

1989

Author dc:creator

• Μανώλης, Αντώνης

• 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

Language dc:language

gre

Identifier

10.12681/eadd/1076

OAI identifier oai:identifier

oai:10442/1076