Evaluation of Ventricular Repolarization Variability in Patients With Nonischemic Dilated Cardiomyopathy From Vectorcardiography

Publikation: Beitrag in Buch/Konferenzbericht/Sammelband/GutachtenBeitrag in KonferenzbandBeigetragenBegutachtung

Abstract

To investigate the predictive value of Ventricular repo-larization variability (VRV) in patients with nonischemic dilated cardiomyopathy, we analyzed the Defibrillator in Non-Ischemic Cardiomyopathy Treatment Evaluation trial (DEFINITE). The Telemetric and Holter ECG Warehouse (THEW) data set E-HOL-03-0401-017 comprises 393 recordings from 236 patients. All patients had a left ventricular ejection fraction < 36 % and were randomized to receiving standard medical therapy with or without an ICD. 24h-Holter 3-lead (Frank lead system) ECGs were performed at enrollment and after up to 5 years' follow-up. The all-cause mortality during the follow-up period was 4.8 %. We analyzed three-dimensional variability of the T-loop and QT interval variability on a single lead basis by employing three-dimensional signals adaptation and two-dimensional signal warping, respectively, to quantify VRV. To assess the predictive value of VRV parameters, Kaplan-Meier survival curves of baseline Holter ECGs were calculated. Our results showed significant association to survival ( P < 0.01 by the log-rank test) for T wave amplitude corrected QT interval variability index (cQTVi) on single lead basis. Low cQTVi group showed no mortality for the entire observation period. We found no associations between cQTVi groups and patient-specific parameters.

Details

OriginalspracheEnglisch
Titel2021 Computing in Cardiology (CinC)
ISBN (elektronisch)9781665479165
PublikationsstatusVeröffentlicht - 13 Sept. 2021
Peer-Review-StatusJa

Externe IDs

Scopus 85124773140