Ventricular ectopic activity: prevalence and risk
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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These conditions account for up to one-fifth of all referrals to cardiology clinics.
“where currently these conditions account for up to one-fifth of all referrals) [30], [31], [32], [33]”
From Multi-centre Randomised Controlled Trial of a Smartphone-based Event Recorder Alongside Standard Care Versus Standard Care for Patients Presenting to the Emergency Department with Palpitations and Pre-syncope: The IPED (Investigation of Palpitations in the ED) study (2019) · cites this paper as [31]
Palpitations are among the most common symptoms that prompt patients to consult general practitioners, cardiologists, or emergency healthcare services.
“Palpitations are among the most common symptoms that prompt patients to consult general practitioners, cardiologists, or emergency healthcare services.1 -4”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [2]
There is evidence that palpitations are a very frequent symptom in the general population and, in particular, in patients suffering from hypertension or heart disease.
“Nevertheless, there is evidence that palpitations are a very frequent symptom in the general population 2,9 and, in particular, in patients suffering from hypertension or heart disease.”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [2]
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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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