JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES)

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Prognostic value of heart rate turbulence parameters for acute myocardial infarction

WANG Hong-yu 1,2, ZENG Qiu-tang1, DONG Jing2, WANG Rui-ying2, WANG Hong-xia2

  

  1. 1. Department of Cardiology, Union Hospital, Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430030, China; 2. Department of Cardiology, Second Clinical Medical College of Shanxi Medical University, Taiyuan 030001, China

  • Received:1900-01-01 Revised:1900-01-01 Online:2008-07-16 Published:2008-07-16
  • Contact: ZENG Qiu-tang

Abstract:

Objective〓〖WTBZ〗To investigate the prognostic value of heart rate turbulence (HRT) for acute myocardial infarction (AMI). 〖WTHZ〗Methods〓〖WTBZ〗110 patients with AMI for 1-3 weeks were enrolled in this study. Parameters including turbulence timing(TT), turbulence onset (TO), turbulence slope (TS) and other parameters were determined. 〖WTHZ〗Results〓〖WTBZ〗① Ninety-three patients with AMI were followed up for an average (18.70±12.65) months, and 20 of them again suffered from a heart incident. ② Patients in the event group had statistically higher TT and TO values and lower TS values than the non-event group (P<0.05), and the phenomenon of HRT in the event group was significantly weakened. ③ Both uni-variate and multivariate analysis showed that TT combined with TO and TS was the strongest risk predictor (OR=8.632; OR=6.056, P<0.01). 〖WTHZ〗Conclusions〓〖WTBZ〗HRT could serve as a strong predictor for subsequent development of poor outcomes in AMI patients.

Key words: Arrhythmia, sinus, Myocardial infarction, Turbulence timing, Turbulence slope, Prognosis

CLC Number: 

  • R541.4
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