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

  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},
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
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?
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
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
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.
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@
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.
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.


Inducible Ventricular Flutter and Fibrillation Predict for Arrhythmia Occurrence in Coronary Artery Disease Patients Presenting with Syncope of Unknown Origin
Ventricular fibrillation and ventricular flutter induced at electrophysiologic studies are thought to be nonspecific findings in patients presenting with syncope of unknown origin, but there are limited data on the prognosis of these patients in long-term follow-up.
Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia.
A two-sided sequential design with death from any cause as the end point was used and patients were randomly assigned to receive an implanted defibrillator or conventional medical therapy.
Multicenter Automatic Defibrillator Implantation Trial (MADIT): Design and Clinical Protocol
By combining appropriate risk stratification with prophylactic pharmacological or device therapy, it could be possible to reduce the mortality and morbidity associated with paroxysmal malignant ventricular arrhythmias.
Programmed ventricular stimulation in survivors of acute myocardial infarction: long-term follow-up.
Programmed ventricular stimulation in survivors of an acute myocardial infarction.
The hypothesis that the induction of ventricular tachyarrhythmias in patients recovering from acute myocardial infarction identifies a group at high risk for sudden cardiac death is not supported.
What Is the Best Predictor of Spontaneous Ventricular Tachycardia and Sudden Death After Myocardial Infarction?
Inducible VT at electrophysiological study was the single best predictor of spontaneous VT and sudden death after myocardial infarction.
Clinical significance of rapid ventricular tachycardia (> 270 beats per minute) provoked at programmed stimulation in patients without confirmed rapid ventricular arrhythmias.
Electrophysiologically guided antiarrhythmic therapy reduced the risk of VT and ventricular flutter was a non-specific finding in patients with normal Holter monitoring, in contrast, in Patients with salvos of extrasystoles, ventricularFlutter was associated with a high risk of cardiac mortality and VT.