Electrophysiology in a district general hospital.
To investigate the feasibility of performing electrophysiological studies at a district general hospital and to evaluate the importance of such studies in the management of patients with suspected arrhthmias.
Design-Retrospective study of patients having had electrophysiological studies during a three year period.
Setting-District general hospital
Subjects-93 patients (50 men, 43 women, mean age 45-9 years) with suspected arrhythmias.
The patients were divided into two groups according to symptoms.
Group 1 (34 patients) presented with syncope
Group 2 (59 patients) presented with palpitation.
All had previously undergone non-invasive investigations.
All had had multiple hospital admissions and outpatient attendances.
In group 1 nine patients with no documented arrhythmias had inducible ventricular tachycardia and three of six with suspected bradyarrhythmias had ventricular tachycardia.
Fourteen patients had suspected ventricular arrhythmias before electrophysiological studies, which were confirmed in all, four receiving automatic implantable cardioverter defibrillators.
Electrophysiological studies were used to guide drug treatment in all patients.
Group 2 consisted of 32 patients with reentrant supraventricular tachycardia and 15 with ventricular tachycardia ; 12 had no documented arrhythmias.
In those with supraventricular tachycardia, accessory pathways were identified in all.
Mots-clés Pascal : Faisabilité, Electrophysiologie, Hôpital général, Exploration, Homme, Electrodiagnostic, Appareil circulatoire pathologie
Mots-clés Pascal anglais : Feasibility, Electrophysiology, General hospital, Exploration, Human, Electrodiagnosis, Cardiovascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0180989
Code Inist : 002B24D01. Création : 09/06/1995.