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ICD detected patient activity is associated with arrhythmic events in heart failure patients.
Ucar, F M; Yilmaztepe, M A.
Afiliación
  • Ucar FM; Resident of Cardiology, Department of Cardiology, Demiroglu Bilim University Hospital, Istanbul, Turkey.
  • Yilmaztepe MA; Department of Cardiology, Trakya University Hospital, Edirne, Turkey.
Niger J Clin Pract ; 23(11): 1615-1620, 2020 Nov.
Article en En | MEDLINE | ID: mdl-33221790
BACKGROUND: Although implantable cardioverter-defibrillator (ICD) reduces mortality in heart failure patients with reduced left ventricle function, arrhythmic episodes are related with increased mortality. Aim: The aim of this study was to investigate whether low patient activity predicts arrhythmic events in the heart failure patients with primary prevention ICD. METHODS: We examined 206 heart Failure (HF) patients (mean age: 61.3 ± 10.9 years, 77.7% male) with primary prevention implanted ICD who referred to our outpatient clinic for pacemaker control. After pacemaker (PM) controls, the overall study group was categorized into three distinct subgroups: Activity less than 2 h, activity 2-4 h, and activity 4-8 h in a day. RESULTS: Activity less than 2 h had a substantially higher level of arrhythmic episodes in comparison to other groups (P < 0.05). In addition, appropriate shock or ATP (antitachycardia pacing) was detected higher in patients whose activity was less than 2 h in a day than other groups (P < 0.001). CONCLUSIONS: Detected low patient activity in ICD control may be a predictor of arrhythmic episodes and appropriate therapies. Increasing physical activity may potentially protect these patients from unwanted events.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arritmias Cardíacas / Desfibriladores Implantables / Medición de Riesgo / Insuficiencia Cardíaca Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Niger J Clin Pract Asunto de la revista: MEDICINA Año: 2020 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: India

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arritmias Cardíacas / Desfibriladores Implantables / Medición de Riesgo / Insuficiencia Cardíaca Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Niger J Clin Pract Asunto de la revista: MEDICINA Año: 2020 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: India