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Ventricular Arrhythmias 3 Weeks After Acute Myocardial Infarction

ARTHUR J. MOSS, M.D.; ROBERT SCHNITZLER, M.D.; RICHARD GREEN, M.D.; and JOHN DECAMILLA
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▸Requests for reprints should be addressed to Arthur J. Moss, M.D., 877 Elmwood Ave., Rochester, N.Y. 14620


Rochester, New York


Ann Intern Med. 1971;75(6):837-841. doi:10.7326/0003-4819-75-6-837
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One hundred patients who were convalescing from a definite or probable acute myocardial infarction had a 6-hour ECG rhythm tape recording made just before contemplated discharge from the hospital. All ventricular premature contractions (VPCs) were identified on each patient's tape record and categorized by frequency, prematurity, aberrancy, and pattern. Seventy-two percent of the patients had one or more VPCs identified on the 6-hour tape recording, 20% had multifocal VPCs, 18% had ventricular bigeminy or paired VPCs, and 4% had one or more transient runs of ventricular tachycardia. Although 36% of the patients had a disturbing degree or type of ventricular irritability, the frequency of major ventricular premature contractions in this group was remarkably similar to that recorded in a normal healthy population, reported by other investigators using similar recording techniques. The long-term prognostic implications of the findings of this study remain to be determined by appropriate follow-up studies.

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