Ventricular premature complexes and associated factors in the early postinfarction period

급성 심근경색증 회복 초기의 심실기외 수축 발생에 관련하는 인자에 대한 연구

To assess the role of multiple factors in influencing occurrence of ventricular premature complexes after acute myocardial infarction twenty-four hour Holter electrocardiographic tape recording were made in 40 survivors of an acute myocardial infarction 10 to 20 days after attack. Ventricular premature complexes were found in 72.5percent of the patients. The incidence and grade of ventricular premature complexes in the early postinfarction period were not correlated with left ventricular function, age, sex, smoking, dibetes mellitus, previous angina, and previous myocardial infarction. The occurrence of ventricular premature complexes showed a positive correlation with the occurrence of ST-T change. The occurrence of ventricular premature complexes during sleep hours was compared to the awake state. In 22 patients. the incidence of ventricular premature complexes was reduced during sleep. If patients free of ectopic activity during 24-hour monitoring sessions are excluded from analysis, the 22 of patients, or in 76percent, sleep was associated with a lowered occurrence of ventricular extrasystoles.

급성 심근경색증 회복 초기의 심실기외수축은 좌심실의 기능, 연령, 흡연, 당뇨병, 협심중의 기왕력, 심근 경색증의 기왕력과 무관하게 발생하며 ST-T절의 변화는 심실기외수축이 있는 경우에 다발하였다. 수면기에는 각성기에 비하여 심실 부정맥이 유의하게 감소하였다.