Cited by 64Cardiac electrophysiology and arrhythmiasCardiac Arrhythmias and TreatmentsCardiac pacing and defibrillation studies

Ventricular ectopic activity: prevalence and risk

Messineo, Frank C.·1989·The American Journal of Cardiology

Abstract

Ambulatory electrocardiographic monitoring and the frequent use of stress electrocardiography have been important tools in characterizing the prevalence and prognostic importance of ventricular ectopic activity in both healthy persons and patients with organic heart disease. These studies have demonstrated that ventricular ectopy is not uncommon in persons with no evidence of heart disease. However, it is rarely of high density or repetitive, and even when frequent or repetitive, or both, carries little, if any, risk of sudden death in patients without syncope. However, in patients with organic heart disease and in certain clinical settings, frequent and repetitive ventricular ectopy identifies a population at high risk for arrhythmia-induced syncope or sudden death. These rhythm disturbances have particular prognostic importance in ischemic heart disease with depressed left ventricular function and hypertrophic cardiomyopathy. Patients with presyncope or syncope and structural heart disease who demonstrate frequent and repetitive ventricular ectopy are also a high-risk group. Therefore, individual risk stratification is important in deciding whether and how to treat patients with ventricular ectopy.

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Crossref · 10.1016/0002-9149(89)91200-9

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Authors
Messineo, F. C.
Affiliations
UConn Health (US)
Corresponding author
Messineo, Frank C.
Venue
The American Journal of Cardiology
Publisher
Elsevier BV
Published
1989-12
Volume
64
Issue
20
Pages
J53-J56
ISSN
0002-9149 (ISSN-L)
OpenAlex
W1993374313
Cited by
64
References
42
Citations by year
2023: 4 · 2022: 6 · 2021: 4 · 2020: 7 · 2019: 6 · 2018: 8 · 2017: 4 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 3 · 2012: 1
FWCI
0.35
Type
journal article
Language
en
Open access
closed
Locations
  • The American Journal of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
Keywords
ventricular ectopic activity, ventricular ectopy, prevalence, sudden cardiac death, syncope, risk stratification, ischemic heart disease, left ventricular dysfunction, hypertrophic cardiomyopathy, Holter monitoring, stress electrocardiography, organic heart disease
MeSH terms
Age Factors, Arrhythmias, Cardiac, Cardiac Complexes, Premature, Heart Ventricles, Humans, Risk Factors, Prevalence

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