Journals / Anadolu Kardiyoloji Dergisi / 2003 / Cilt: 3 - Sayı: 1

Noninvasive electrocardiographic findings and plasma norepinephrine levels in patients with post-myocardial infarction receiving anti-anginal agents

Miyokard infarktüsü geçiren ve antianjinal ajanları kullanan hastalarda plasma norepinefrin düzeyleri ve noninvazif elektrokardiyografik bulgular

Pages
43–47
Publication Date
2022-10-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Mean high frequency power of HRV of the calcium antagonist group was significantly (p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to investigate the effects of anti-anginal agents on plasma norepinephrine (NE) levels and the autonomic nerve functions evaluated by advanced noninvasive electrocardiographic (ECG) tests in post-myocardial infarction (PMI) patients.
📊
Key Findings & Data:Methods: The subjects were 89 PMI patients who had suffered myocardial infarction (MI) at least 2 months before they participated in this study, and who had been taking anti-anginal agent mono-therapy (typical Japanese doses) for at least 6 months.
💡
Conclusion & Impact:Mean high frequency power of HRV of the calcium antagonist group was significantly (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to investigate the effects of anti-anginal agents on plasma norepinephrine (NE) levels and the autonomic nerve functions evaluated by advanced noninvasive electrocardiographic (ECG) tests in post-myocardial infarction (PMI) patients. Methods: The subjects were 89 PMI patients who had suffered myocardial infarction (MI) at least 2 months before they participated in this study, and who had been taking anti-anginal agent mono-therapy (typical Japanese doses) for at least 6 months. Subjects were classified into the following 3 groups, based on type of anti-anginal agent: calcium antagonists (n=31, 60 ± 12 years), nitrates (n=29, 56 ± 11 years) and b-blockers (n=29, 63 ± 14 years). Left ventricular late potentials (LP), heart rate variability (HRV), T wave alternans (TWA), QT dispersion (QTd), and plasma NE levels of all subjects were assessed. There were no significant differences in age, gender, MI location or coronary risk factors between the 3 groups. Results: There were no significant differences in the number of subjects who satisfied criteria for LP, TWA, and QTd between the 3 groups. Mean high frequency power of HRV of the calcium antagonist group was significantly (p

Özet

Objective: The aim of this study was to investigate the effects of anti-anginal agents on plasma norepinephrine (NE) levels and the autonomic nerve functions evaluated by advanced noninvasive electrocardiographic (ECG) tests in post-myocardial infarction (PMI) patients. Methods: The subjects were 89 PMI patients who had suffered myocardial infarction (MI) at least 2 months before they participated in this study, and who had been taking anti-anginal agent mono-therapy (typical Japanese doses) for at least 6 months. Subjects were classified into the following 3 groups, based on type of anti-anginal agent: calcium antagonists (n=31, 60 ± 12 years), nitrates (n=29, 56 ± 11 years) and b-blockers (n=29, 63 ± 14 years). Left ventricular late potentials (LP), heart rate variability (HRV), T wave alternans (TWA), QT dispersion (QTd), and plasma NE levels of all subjects were assessed. There were no significant differences in age, gender, MI location or coronary risk factors between the 3 groups. Results: There were no significant differences in the number of subjects who satisfied criteria for LP, TWA, and QTd between the 3 groups. Mean high frequency power of HRV of the calcium antagonist group was significantly (p

🔖

Cite This Article

KURITA, A., MATSUI, T., ISHIZUKA, T., TAKASE, B., SATOMURA, K. (2022). Noninvasive electrocardiographic findings and plasma norepinephrine levels in patients with post-myocardial infarction receiving anti-anginal agents. Anadolu Kardiyoloji Dergisi, Cilt: 3 - Sayı: 1, 43–47. https://ajindex.com/articles/437497

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Wilcoc RJ, Hampton JP, Banks DC et al. Trial of early nifedipine in acute myocardial infarction: the TRENT study. BMJ 1986; 293: 1214-8
  2. Israeli Sprint Study Group. Secondary Prevention Reinfarction Israeli Nifedipine Trial (SPRINT). A randomized intervention trial of nifedipine in patients with acute myocardial infarction. Eur Heart J 1988; 9: 354-64
  3. Goldbourt U, Behar S, Reicher-Ress H, et al. Early administration of nifedipine in suspected acute myocardial infarction. Arch Intern Med 1993;153:345-53
  4. Furberg CD, Psaty BM, Meyer JV. Nifedipine:dose-related increase in mortality in patients with coronary heart disease. Circulation 1995; 92: 1326-31
  5. Simson MB. Use of signals in the terminal QRS complex to identify patients with ventricular tachycardia after myocardial infarction. Circulation 1981; 64: 235-42
  6. Higham PD, Campbell RWF. QT dispersion. Br Heart J 1994; 71: 508-10
  7. Task Force of the European Society of Cardiology and North American Society of Pacing and Electrophysiology. Heart Rate Variability. Standard of measurements, physiological interpretation, and clinical use. Circulation 1996; 93:1043-65
  8. Rosenbaum DS, Jackson LE, Smith JM, et al. Electrical alternans and vulnerability to ventricular arrhythmias. N Engl J Med, 1994; 330: 235-41
  9. Moss AJ. Clinical use of noninvasive ECG testing in patients with chronic coronary artery disease. In Zareba W, Maison-Blanche P, Locati EH, editors. Noninvasive Electrocardiology in Clinical Practice. New York: Futura Co; 2001. p. 373-392
  10. Breithardt G, Cain ME, El-Sherif N, et al. Standards for analysis of ventricular late potentials using high-resolution or signal-averaged electrocardiography: a Statement by a Task Force Committee of the European Society of Cardiology, the American Heart Association and the American College of Cardiology. J Am Coll Cardiol 1991; 17: 999-1006
  11. Kurita A, Matsui T, Ishizuka T, et al. Modulation of electrical microvolt level T-wave alternans and left ventricular late potentials evaluated by heart rate variability indices, QT dispersion, and plasma catecholamine levels. Ann Noninv Electrocardiol 2000; 5: 262-69
  12. Benhorin J, Merri M, Alberti M, et al. Long QT syndrome: new electrocardiographic characteristics. Circulation 1990; 82:521- 7
  13. Rosenbaum DS, Albrecht P, Cohen RJ. Predicting sudden cardiac death from T wave alternans of the surface electrocardiogram: Promise and pitfalls. J Cardiovasc Electrophysiol 1996; 7: 1095-111