Ventrikulaere takyarytmier. En retrospektiv analyse af aetiologi, demografi og behandling

TY - JOUR

T1 - Ventrikulaere takyarytmier. En retrospektiv analyse af aetiologi, demografi og behandling

AU - Christensen, Alex Hørby

AU - Henningsen, Kristoffer

AU - Svendsen, Jesper Hastrup

N1 - Keywords: Adolescent; Adult; Aged; Aged, 80 and over; Cardiomyopathies; Defibrillators, Implantable; Electrocardiography; Female; Heart Arrest; Heart Diseases; Humans; Male; Middle Aged; Myocardial Ischemia; Retrospective Studies; Tachycardia, Ventricular

PY - 2008

Y1 - 2008

N2 - INTRODUCTION: The aim of this study was to investigate the age, sex, etiology, frequency of implantable cardioverter-defibrillator (ICD) and previous cardiac arrest among patients discharged from the Department of Cardiology, Rigshospitalet (Copenhagen University Hospital), Denmark, due to ventricular tachyarrhythmias. MATERIALS AND METHODS: We conducted a retrospective review of 993 patients discharged from Rigshospitalet over 6 years and 5 months with the diagnostic codes ventricular tachycardia, ventricular fibrillation or premature ventricular contractions. RESULTS: The population had an average age of 59 years (ranging 15-95 years) with a majority of males (76%). Among the patients with known etiology ischemic heart disease (60%), dilated cardiomyopathy (6%) and arrhythmogenic right ventricular cardiomyopathy (6%) were the most frequent. A substantial number of the patients (15%) had unknown etiology; 492 (50%) of the patients overall had an ICD implanted, the majority of whom had been categorized as having ventricular tachycardia (92%); 168 patients had previous cardiac arrest, 127 of whom did not have a potential reversible cause. Of this group 75 (59%) had an ICD implanted. CONCLUSION: Ischemic heart disease is the most common cause of ventricular tachyarrhythmias. Approximately half the patients admitted with ventricular tachyarrhythmias had an ICD implanted, the majority of whom did not have previous cardiac arrest. Udgivelsesdato: 2008-Jun

AB - INTRODUCTION: The aim of this study was to investigate the age, sex, etiology, frequency of implantable cardioverter-defibrillator (ICD) and previous cardiac arrest among patients discharged from the Department of Cardiology, Rigshospitalet (Copenhagen University Hospital), Denmark, due to ventricular tachyarrhythmias. MATERIALS AND METHODS: We conducted a retrospective review of 993 patients discharged from Rigshospitalet over 6 years and 5 months with the diagnostic codes ventricular tachycardia, ventricular fibrillation or premature ventricular contractions. RESULTS: The population had an average age of 59 years (ranging 15-95 years) with a majority of males (76%). Among the patients with known etiology ischemic heart disease (60%), dilated cardiomyopathy (6%) and arrhythmogenic right ventricular cardiomyopathy (6%) were the most frequent. A substantial number of the patients (15%) had unknown etiology; 492 (50%) of the patients overall had an ICD implanted, the majority of whom had been categorized as having ventricular tachycardia (92%); 168 patients had previous cardiac arrest, 127 of whom did not have a potential reversible cause. Of this group 75 (59%) had an ICD implanted. CONCLUSION: Ischemic heart disease is the most common cause of ventricular tachyarrhythmias. Approximately half the patients admitted with ventricular tachyarrhythmias had an ICD implanted, the majority of whom did not have previous cardiac arrest. Udgivelsesdato: 2008-Jun

M3 - Tidsskriftartikel

C2 - 18565312

SN - 0041-5782

VL - 170

SP - 2234

EP - 2237

JO - Ugeskrift for læger

JF - Ugeskrift for læger

IS - 25

ER -