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J Electrocardiol ; 37(3): 207-17, 2004 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15286934

RESUMO

The clinical features of ventricular arrhythmia and RR-interval dynamics in AF-patients remain unresolved. We successively plotted points on an X-Y plain as (X, Y) = (RRn, RRn + 1) from the consecutive RR-intervals of Holter ECGs. Eighty of 175 AF-patients were thus diagnosed to have ventricular arrhythmia based on the different plotting patterns between ventricular premature contractions (VPCs) and aberrations. Different characteristics of the RR-interval dynamics before VPCs were observed such as fixed or variable coupling, and a regular or irregular RR-interval sequence. Malignant arrhythmias occurred more frequently in AF-patients with variable coupling VPCs and/or an irregular RR-interval sequence before VPCs than in those with the fixed coupling VPCs and/or the regular RR-interval sequence before VPCs. The RR-interval plotting method enabled us to distinguish different types of VPCs which were related to the clinical characteristics of the AF-patients.


Assuntos
Arritmias Cardíacas/fisiopatologia , Fibrilação Atrial/fisiopatologia , Eletrocardiografia Ambulatorial , Complexos Ventriculares Prematuros/fisiopatologia , Arritmias Cardíacas/diagnóstico , Ecocardiografia , Feminino , Seguimentos , Sistema de Condução Cardíaco/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Fatores de Tempo
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