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العنوان
The Treatment of Symptomatic Premature Ventricular Contractions
المؤلف
El-Din Ibrahim Abd El-Alim,Hossam
هيئة الاعداد
باحث / Hossam El-Din Ibrahim Abd El-Alim
مشرف / MOHAMED KHIRY ABD EL-DAYEM
مشرف / OSAMA ALI DIAB
الموضوع
Mexiletine: Pharmacology and clinical effects.
تاريخ النشر
2011
عدد الصفحات
131
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2011
مكان الإجازة
جامعة عين شمس - كلية الطب - cardiology
الفهرس
Only 14 pages are availabe for public view

from 131

from 131

Abstract

Premature ventricular contractions (PVCs) are common and occur in a broad spectrum of the population. This includes patients without structural heart disease and those with any form of cardiac disease, independent of severity.
Ventricular premature beats produce few or no symptoms in the vast majority of patients, although occasional patients are incapacitated by palpitations or dizziness. PVCs rarely cause true hemodynamic compromise except in patients with frequent PVCs and severely depressed left ventricular function or when they are concurrent with a bradycardia.
This randomized clinical study included 50 patients with frequent symptomatic PVCs with no underlying cause, including 17 (34%) females and 33 (66%) males. The patients were selected as out-patients of national heart institute during the period between September 2007 and September 2009.
Patients with curable etiology for PVCs were excluded from the study.
The patients were randomized into two groups:
Group (I) included 25 patients who received mexiletine in a dose of 200mg every 8 hours for one week.
Group (II) included 25 patients who received atenolol in a dose of 50 mg once daily for one week.
All patients were monitored for 24- hours with a Holter recorder using 3 channel Burdick visionTM 5L, with digital solid state recorder.