CAJ | 학술논문

目的：探讨心性猝死与心室晚电位的关系。方法：比较3 366例心脏病人心室晚电位阳性与阴性患者1年内死亡率及转阴后的死亡率变化。结果：3 366例中心室晚电位阳性者189例，占受检病人的5.6%，经治疗后 121例转为阴性，转阴率为64%，随访1年，有7例(3.7%)猝死，6例发生于晚电位持续阳性者，1例发生于转阴后。3 177例晚电位阴性病人1年内死亡30例，死亡率为0.94%。结论：心室晚电位阳性有预测发生心脏恶性事件的价值，其有效防治十分必要。
목적：탐토심성졸사여심실만전위적관계。방법：비교3 366례심장병인심실만전위양성여음성환자1년내사망솔급전 음후적사망솔변화。결과：3 366례중심실만전위양성자189례，점수검병인적5.6%，경치료후 121례전위음성，전음솔위64%，수방1년，유7례(3.7%)졸사，6례발생우만전위지속양성자 ，1례발생우전음후。3 177례만전위음성병인1년내사망30례，사망솔위0.94%。결론：심실만전위양성유예측발생심장악성사건적개치 ，기유효방치십분필요。
Objective:To investigate the correlation between car diogenic sudden death(CSD) and ventricular late potentials(VLP).Methods:VLP was determined in 3 366 patients with cardiovascular disease(CVD).A nnual mortality rate of CSD were investigated in whom result of VLP was positiv e or negative.Results:Patients with positive VLP were 189 cases,occupied in 5 .6% of all pa tients.In which 121 cases were changed from positive to negative by treatment.Following -up 1 year,7 patients(3.7%) were death in VLP positive group,one of them was patient,his positive VLP had change to negative.Thirty peoples were death(0.94%) in VLP negative groups. Conclusion:The VLP is valuable index to predict CSD in patients with CVD.The effective prevention and therapy is necessary to the CVD patients with positive VLP.