Utility of implantable cardioverter defibrillator electrograms to estimate repolarization alternans preceding a tachyarrhythmic event

Journal of Cardiovascular Electrophysiology

Volumn 15, Issue 5, 2004, Pages 594-597

  Armoundas, Antonis A ^a,b   Albert, Christine M ^b   Cohen, Richard J ^c   Mela, Theofanie ^b  

^a JOHNS HOPKINS UNIVERSITY   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

^c HARVARD MIT DIVISION OF HEALTH SCIENCES AND TECHNOLOGY   (United States)

Author keywords

Alternans; Electrocardiology; Primary prevention; Ventricular arrhythmias

Indexed keywords

ADULT; ARTICLE; CASE REPORT; DEFIBRILLATOR; ELECTROCARDIOGRAPHY; HEART REPOLARIZATION; HEART VENTRICLE ARRHYTHMIA; HUMAN; PRIMARY PREVENTION; PRIORITY JOURNAL; QRS COMPLEX; SIGNAL NOISE RATIO; TACHYCARDIA;

EID: 2442606540     PISSN: 10453873     EISSN: None     Source Type: Journal    
DOI: 10.1046/j.1540-8167.2004.03411.x     Document Type: Article

References (32)

1. Nearing BD, Huang AH, Verrier RL: Dynamic tracking of cardiac vulnerability by complex demodulation of the T wave. Science 1991;252:437-40.
2. Nearing BD, Hutter JJ, Verrier RL: Potent antifibrillatory effect of combined blockade of calcium channels and 5-HT2 receptors with nexopamil during myocardial ischemia and reperfusion in dogs: comparison to diltiazem. J Cardiovasc Pharmacol 1996;27:777-787.
3. Kaufman ES, Mackall JA, Julka B, Drabek C, Rosenbaum DS: Influence of heart rate and sympathetic stimulation on arrhythmogenic T wave alternans. Am J Physiol Heart Circ Physiol 2000;279:H1248-H1255.
4. Shimoni Z, Flatau E, Schiller D, Barzilay E, Kohn D: Electrical alternans of giant U waves with multiple electrolyte deficits. Am J Cardiol 1984;54:920-921.
5. Reddy CV, Kiok JP, Khan RG, El-Sherif N: Repolarization alternans associated with alcoholism and hypomagnesemia. Am J Cardiol 1984;53:390-391.
6. Hennersdorf MG, Perings C, Niebch V, Vester EG, Strauer BE: T wave alternans as a risk predictor in patients with cardiomyopathy and mild-to-moderate heart failure. Pacing Clin Electrophysiol 2000;23:1386-1391.
7. Adachi K, Ohnishi Y, Shima T, Yamashiro K, Takei A, Tamura N, Yokoyama M: Determinant of microvolt-level T-wave alternans in patients with dilated cardiomyopathy. J Am Coll Cardiol 1999;34:374-380.
8. Klingenheben T, Zabel M, D'Agostino RB, Cohen RJ, Hohnloser SH: Predictive value of T-wave alternans for arrhythmic events in patients with congestive heart failure. (Letter) Lancet 2000;356:651-652.
9. Kon-No Y, Watanabe J, Koseki Y, Koyama J, Yamada A, Toda S, Shinozaki T, Fukuchi M, Miura M, Kagaya Y, Shirato K: Microvolt T wave alternans in human hypertrophy: Electrical instability and abnormal myocardial arrangement. J Cardiovasc Electrophysiol 2001;12:759-763.
10. Schwartz PJ, Malliani A: Electrical alternation of the T-wave: Clinical and experimental evidence of its relationship with the sympathetic nervous system and with the long Q-T syndrome. Am Heart J 1975;89:45-50.
11. Platt SB, Vijgen JM, Albrecht P, Van Hare GF, Carlson MD, Rosenbaum DS: Occult T wave alternans in long QT syndrome. J Cardiovasc Electrophysiol 1996;7:144-148.
12. Armoundas AA, Nanke T, Cohen RJ: Images in cardiovascular medicine. T-wave alternans preceding torsade de pointes ventricular tachycardia. Circulation 2000;101:2550.
13. Gold MR, Bloomfield DM, Anderson JM, El-Sherif N, Wilber D, Groh WJ, Estes NA 3rd, Kaufman ES, Greenberg ML, Rosenbaum DS: A comparison of T-wave alternans, signal averaged electrocardiography and programmed ventricular stimulation for arrhythmia risk stratification. J Am Coll Cardiol 2000;36:2247-2253.
14. Kitamura H, Ohnishi Y, Okajima K, Ishida A, Galeano E, Adachi K, Yokoyama M: Onset heart rate of microvolt-level T-wave alternans provides clinical and prognostic value in nonischemic dilated cardiomyopathy. J Am Coll Cardiol 2002;39:295-300.
15. Ikeda T, Saito H, Tanno K, Shimizu H, Watanabe J, Ohnishi Y, Kasamaki Y, Ozawa Y: T-wave alternans as a predictor for sudden cardiac death after myocardial infarction. Am J Cardiol 2002;89:79-82.
16. Armoundas AA, Rosenbaum DS, Ruskin JN, Garan H, Cohen RJ: Prognostic significance of electrical alternans versus signal averaged electrocardiography in predicting the outcome of electrophysiological testing and arrhythmia-free survival. Heart 1998;80:251-256.
17. Armoundas AA, Osaka M, Mela T, Rosenbaum DS, Ruskin JN, Garan H, Cohen RJ: T-wave alternans and dispersion of the QT interval as risk stratification markers in patients susceptible to sustained ventricular arrhythmias. Am J Cardiol 1998;82:1127-1129, A9.
18. Rosenbaum DS, Jackson LE, Smith JM, Garan H, Ruskin JN, Cohen RJ: Electrical alternans and vulnerability to ventricular arrhythmias. N Engl J Med 1994;330:235-241.
19. Armoundas AA, Tomaselli GF, Esperer HD: Pathophysiological basis and clinical application of T Wave alternans. J Am Coll Cardiol 2002;40:207-217.
20. Smith JM, Clancy EA, Valeri CR, Ruskin JN, Cohen RJ: Electrical alternans and cardiac electrical instability. Circulation 1988;77:110-121.
21. Lewis T: Notes upon alternation of the heart. Q J Med 1910;4:141-144.
22. Raeder EA, Rosenbaum DS, Bhasin R, Cohen RJ: Alternating morphology of the QRST complex preceding sudden death. (Letter) N Engl J Med 1992;326:271-272.
23. Nearing BD, Verrier RL: Progressive increases in complexity of T-wave oscillations herald ischemia-induced ventricular fibrillation. Circ Res 2002;91:727-732.
24. Pastore JM, Girouard SD, Laurita KR, Akar FG, Rosenbaum DS: Mechanism linking T-wave alternans to the genesis of cardiac fibrillation. Circulation 1999;99:1385-1394.
25. Hashimoto H, Asano M, Nakashima M: Potentiating effects of a ventricular premature beat on the alternation of the ST-T complex of epicardial electrograms and the incidence of ventricular arrhythmias during acute coronary occlusion in dogs. J Electrocardiol 1984;17:289-301.
26. Konta T, Ikeda K, Yamaki M, Nakamura K, Honma K, Kubota I, Yasui S: Significance of discordant ST alternans in ventricular fibrillation. Circulation 1990;82:2185-2189.
27. AVID Investigators: A comparison of antiarrhythmic-drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventricular arrhythmias. N Engl J Med 1997;337:1576-1583.
28. Moss AJ, Hall WJ, Cannom DS, Daubert JP, Higgins SL, Klein H, Levine JH, Saksena S, Waldo AL, Wilber D, Brown MW, Heo M: Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia. Multicenter Automatic Defibrillator Implantation Trial Investigators. N Engl J Med 1996;335:1933-1940.
29. Moss AJ, Zareba W, Hall WJ, Klein H, Wilber DJ, Cannom DS, Daubert JP, Higgins SL, Brown MW, Andrews ML: Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med 2002;346:877-883.
30. Buxton AE, Lee KL, DiCarlo L, Gold MR, Greer GS, Prystowsky EN, O'Toole MF, Tang A, Fisher JD, Coromilas J, Talajic M, Hafley G: Electrophysiologic testing to identify patients with coronary artery disease who are at risk for sudden death. Multicenter Unsustained Tachycardia Trial Investigators. N Engl J Med 2000;342:1937-1945.
31. Tovar OH, Jones JL: Electrophysiological deterioration during long-duration ventricular fibrillation. Circulation 2000;102:2886-2891.
32. Stevenson WG, Stevenson LW: Prevention of sudden death in heart failure. J Cardiovasc Electrophysiol 2001;12:112-114.