Arterial hypertension and stress-induced arrhythmias in coronary heart disease patients

To investigate arterial hypertension (AH) influence on stress-induced arrhythmias in coronary heart disease (CRT)) patients, we examined 196 males with previously verified CRT) and various stages of AH. All participants underwent echocardiography, bicycle stress test (BST); corrected cQT(cQT) disper...

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Bibliographic Details
Main Authors: L. A. Leshchinsky, B. L. Multanovsky, A. G. Petrov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2005-06-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/2411
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Summary:To investigate arterial hypertension (AH) influence on stress-induced arrhythmias in coronary heart disease (CRT)) patients, we examined 196 males with previously verified CRT) and various stages of AH. All participants underwent echocardiography, bicycle stress test (BST); corrected cQT(cQT) dispersion at baseline and during BST, as well as recovery time of initial dispersion and ST segment, were calculated. AH, especially severe AH, was a risk factor for stress-induced ventricular extrasystolia (VES) in CHD patients, by promoting left ventricular hypertrophy (LVH) and myocardial electrical heterogeneity. In CHD patients with stress-induced VES, comparing to VES-free individuals, myocardial electric heterogeneity was maximal during stress tests, increasing at the very beginning of the tests. These results can be used in predicting cardiac arrhythmias incidence during physical stress.
ISSN:1560-4071
2618-7620