The discrete atrioventricular conduction phenomenon in patients with metabolic syndrome
https://doi.org/10.14341/probl200854412-14
Abstract
The aim of the study was to investigate the electrophysiological features of poly fascicular atrioventricular (A V) conduction in patients with metabolic syndrome (MS). Sixty-twо patients in whom an AV-curve jump was revealed and/or А О nodal reentrant tachycardia (AONRT) could be induced during a transesophageal electrophysiological study. Of them 28 patients met the NCEP ATP criteria for MS (Croup 1); 34 had no signs of MS (Group 2). Group 1 showed reductions in the effective refractory period of the betta-pathway (300.3tl4.0 msec versus 310.6±16.3 msec; p - 0.01) and in the сиrvе jump (88.9+9.1 msec versus 95.6±12.6 msec; p = 0.02); there was no curve jump in half the cases. In this group of patients, AONRT was induced in the atypical fashion, it was more sustained and frequent showed frequent relapses and transformation to atrial fibrillation. The findings are attributable to the direct influence of MS on the stale of АО conduction.
About the Authors
V. M. Provotorov
Voronezh Burdenko State Medical University
Russian Federation
Russian Federation
M. L. Glukhovsky
Voronezh Burdenko State Medical University
Russian Federation
Russian Federation
References
1. Чазов Е.И., Оганов Р.Г., и др. Диагностика и лечение стабильной стенокардии. Российские рекомендации Комитета экспертов Всероссийского научного общества кардиологов // Кардиоваскуляр. тер. и профилактика. 2004. Т. 3. № 4 S1. С. 7.
2. Кипшидзе Н.Н., Кацитадзе Г. А., Хосрошвили Л. Б.//Мед. новости Грузии. -2005. -Т. 119, № 2. -С. 9-13.
3. Тарловский А. К., Соболев А. А., Сапожникова И. Е., Тар-ловская Е. И.//Вестн. аритмол. -2002. -Т. 24, № 1. -С. 22-27.
4. Чирейкин Л. В., Шубик Ю. Л., Медведев М. М. Чреспище-водная электрокардиография и электрокардиостимуляция. -СПб., 1999.
5. Чубриева С. Ю., Беляков II. А., Великанова Л. И.//Вестн. аритмол. -2000. -Т. 16, № 1. -С. 15-19.
6. Chiu Н. С., Kovacs A., Blanton R. M. et al.//Circ. Res. -2005. -Vol. 96, N 2. -P. 225-233.
7. Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)//J. A. M. A. -2001. -Vol. 285. -P. 24S6-2497.
8. The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Follow-up report on the diagnosis of diabetes mellitus // Diabetes Care. - 2003. - Vol. 26. - P. 3160-3167.
9. Kennel IK В., Wolf P. A., Benjamin E. J., Levy D.//Am. J. Cardiol. -1998. -Vol. 82, N 8A. -P. 2N-9N.
10. Korantzopoulos P., Kokkoris S., Papaioannides D.//Cardiology. -2005. -Vol. 104. N 3. -P. 148-149.
11. Mazgalev T. N. Zhang Y.//Minerva Cardioangiol. -2003. -Vol. 51. -P. 1-14.
12. Nakanishi N., Kashiwakura Y., Nishina K. et al. Metabolic syndrome and risk of isolated ST-T.
Review
For citations:
Provotorov V.M., Glukhovsky M.L. The discrete atrioventricular conduction phenomenon in patients with metabolic syndrome. Problems of Endocrinology. 2008;54(4):12-14. (In Russ.) https://doi.org/10.14341/probl200854412-14
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