Ventricular Flutter Induced During Electrophysiologic Studies in Patients with Old Myocardial Infarction:

@article{Viskin2003VentricularFI,
  title={Ventricular Flutter Induced During Electrophysiologic Studies in Patients with Old Myocardial Infarction:},
  author={Sami Viskin and Maya Ish-shalom and Edward Koifman and Uri Rozovski and David Zeltser and Aharon Glick and Ariel Finkelstein and Amir Halkin and Roman Fish and Bernard Belhassen},
  journal={Journal of Cardiovascular Electrophysiology},
  year={2003},
  volume={14}
}
Introduction: Induction of ventricular flutter during electrophysiologic (EP) studies (similar to that of ventricular fibrillation [VF]) often is viewed as a nonspecific response with limited prognostic significance. However, data supporting this dogma originate from patients without previously documented ventricular tachyarrhythmias. We examined the significance of ventricular flutter in patients with and without spontaneous ventricular arrhythmias. 
Significance of Inducible Ventricular Flutter‐Fibrillation After Myocardial Infarction
Aim: The purpose of this study was to determine the factors associated with the induction of ventricular flutter/fibrillation (VFl/VF) and its prognostic significance in post‐myocardial infarction.
Invasive Electrophysiologic Testing: Role in Sudden Death Prediction
TLDR
The placement of intracardiac catheters to assess the risk of arrhythmia and selection of antiarrhythmic treatment on the basis of suppression of VT inducibility was reasonably believed to represent a scientific approach to management of life-threatening arrhythmias.
Inducible fast ventricular tachycardia after ST-segment--elevation myocardial infarction: is ventricular tachycardia ever OK?
TLDR
It is shown that complex premature beats were associated with a risk of sudden coronary death 3× that for men free of these findings, and a graded prognostic importance of ventricular premature beats and left ventricular dysfunction was described in the Myocardial Post-Infarction Program.
Long‐Term Outcomes of Inducible Very Fast Ventricular Tachycardia (Cycle Length 200–250 ms) in Patients With Ischemic Cardiomyopathy
TLDR
The long‐term outcomes of patients with inducible very fast ventricular tachycardia (VFVT) of cycle length 200 to 250 ms have not been well studied.
Significance of Inducible Very Fast Ventricular Tachycardia (Cycle Length 200–230 ms) After Early Reperfusion for ST-Segment–Elevation Myocardial Infarction
TLDR
The majority of inducible VT in patients who have been reperfused early after ST-segment–elevation myocardial infarction is very fastVT (CL, 200–230 ms), and this very fast VT incurs at least a similar risk of arrhythmia or death as inducibles standard VT (CL>230 ms) and a significantly higher risk than patients with a negative EPS.
An "aggressive" protocol of programmed ventricular stimulation for selecting post-myocardial infarction patients with a low ejection fraction who may not require implantation of an automatic defibrillator.
TLDR
The mortality rate in patients without inducible VTAs using an aggressive PVS protocol and who did not undergo subsequent ICD implantation is not different from that of patients with inducable arrhythmias who received an ICD.
Programmed ventricular stimulation--indications and limitations: a comprehensive update and review.
  • A. Kossaify, M. Refaat
  • Medicine
    Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese
  • 2013
USEK-NDS University Hospital Cardiology Division Electrophysiology Unit Byblos, Jbeil, Lebanon e-mail: antoinekossaify@ yahoo.com
Systematic Review of Cardiovascular Disease Risk Assessment Tools
Review Form First Author, Year: ___________________ Ref ID #__________ Abstractor Initials: ___ ___ ___ Primary Inclusion/Exclusion Criteria 1. Relevant to SER topic Yes No Cannot Determine 2.
Influence of the mode of management of acute myocardial infarction on the inducibility of ventricular tachyarrhythmias with programmed ventricular stimulation after myocardial infarction.
TLDR
Induction of non-specific arrhythmias (ventricular flutter and fibrillation) was less frequent than before 2000, despite the indication of PVS in patients with lower LVEF, which could be due to the increased use of systematic primary angioplasty for MI since 2000.

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