Arrhythmias in patients with metabolic syndrome and critical limb ischemia
Authors:
Ľ. Gašpar 1; P. Gavornik 1; A. Dukát 1; M. Fülleová 1; P. Poliak 2
Authors place of work:
Lekárska fakulta Univerzity Komenského a Fakultná nemocnica s poliklinikou Bratislava, Slovenská republika
; II. interná klinika
Prednosta: prof. MUDr. Andrej Dukát, CSc., FESC
1; Klinika anestéziológie a intenzívnej medicíny
Prednosta: MUDr. Juraj Koutun, CSc.
2
Published in the journal:
Prakt. Lék. 2010; 90(8): 480-482
Category:
Of different specialties
Summary
Through Holter ECG long–term monitoring we investigated 28 patients suffering from metabolic syndrome and critical limb ischemia. Only 6 (22 %) of them had normal Holter ECG records, without ischemia or arrhythmias. All of the remainder had arrhythmias and/or episodes of ischemia. This data highlights the high cardiovascular risk of possible perioperative complications, and lends further weight to the need for consistent diagnosis using cardiovascular functional diagnostic methods. Holter ECG long–term monitoring provides us with important data, which enables this risk to be reduced.
Key words:
Holter ECG long-term monitoring, metabolic syndrome, critical limb ischemia, cardiac arrhythmias and ischemia.
Zdroje
1. Alberti, K.G., Zimmet, P., Shaw, J. et al. for International Diabetes Federation. IDF worldwide definition of the metabolic syndrome. Lancet 2005, 366, p. 1059-1062.
2. Bhatt, D.L. for CAPRIE Steering Committee. A randomised, blinded, trial of clopidogrel versus aspirin in patients at risk of ischaemic events (CAPRIE). Lancet 1996, 348, p. 1329-1339.
3. Bhatt, D.L., Steg, P.G., Ohman, E.M. et al. International prevalence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis (REACH registry). JAMA 2006, 295, p. 180-189.
4. Dukát, A. Metabolický syndróm: svetlá a tiene. Curr. Clin. Pract. 2006, 2, s. 4–8.
5. Gašpar, L., Ambrózy, E., Dukát, A. et al. Arrythmias at patients with critical limb ischaemia. Eur. J. Cardiovasc. Prev. Rehabil. 2008, Suppl., 150.
6. Gavorník, P. Všeobecná angiológia. Angiologická propedeutika. Cievne choroby. 2. rozšírené a doplnené vyd. Bratislava: Univerzita Komenského –vydavateľstvo UK 2001, 268 s.
7. Isomaa, B., Almagren, P., Tuomi, T. et al. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2001, 24(4), p. 683-689.
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General practitioner for children and adolescents General practitioner for adultsČlánok vyšiel v časopise
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