Prediction of non-invasive examination of the progress of malignant arrhythmia.doc

 PAGE \* MERGEFORMAT 10 Prediction of non-invasive examination of the progress of malignant arrhythmia [Keywords:] non-invasive examination method, malignant arrhythmia Malignant ventricular arrhythmias in patients with structural heart disease is clinically one of the main causes of death. Intracardiac electrophysiological study is to assess and predict the relative scientific malignant arrhythmia detection methods, can induce ventricular arrhythmias and even ventricular tachycardia, ventricular fibrillation, but the method is an invasive method, not suitable for use as a conventional forecasting methods. So the researchers and the positive prediction of noninvasive malignant arrhythmia, currently used non-invasive malignant arrhythmia electrophysiology Index are: QT dispersion, heart rate variability, ventricular late potentials, T wave alternans, heart rate turbulence and so on. now for these types of indicators are briefly described. 1 QT dispersion (QT dispersion, QTd QTd is the conventional 12-lead ECG QT interval variability, representing ventricular repolarization are not synchronized and the degree of electrical instability. All causes heterogeneity of ventricular repolarization can lead to increased QTd increased, many studies have shown that QTd could be used to predict malignant ventricular arrhythmias and sudden cardiac death as an indicator of a variety of organic heart disease malignant arrhythmia and sudden cardiac death has some predictive value (1). particularly in patients with acute myocardial infarction myocardial infarction in patients with malignant arrhythmias after a significant increase in QTd (2), indicating that QTd in patients with acute myocardial infarction and the incidence of malignant arrhythmias after myocardial infarction is closely related to, measuring QTd in predicting ventricular tachycardia in patients with acute myocardial infarction, ventricular the occurrence of chatter and recent prognosis has some value