VZL 2006, 75(3):101-106

Comparison of the 24-Hour Periodicity of Extrasystoles in Uncomplicated Myocardial Infarction in the Lowland and Altitude Chronic Respiratory Insufficiency - the First Results

Štefan Kujaník1, Kamila Lukáčová2, Mikuláš Mayer3, Juraj Podracký4, Marián Sninčák5
1 Lekárska fakulta Univerzity P. J. Šafárika, Košice, Slovenská republika
2 Slovenské kúpele Sliač, Slovenská republika
3 Odborný liečebný ústav TBC a respiračných chorôb Vyšné Hágy, Slovenská republika
4 Fakultná nemocnica s poliklinikou, Košice,
5 Letecká vojenská nemocnica Košice, Slovenská republika

Infarkt myokardu, chronická respiračná insuficiencia a vyššia nadmorská výška sú známe vyšším výskytom srdcových arytmií. Cieľom práce bolo porovnať 24-hodinovú periodicitu supraventrikulárnych aj komorových extrasystol u mužov nad 50 rokov s nekomplikovaným infarktom myokardu na nížine a chronickou respiračnou insuficienciou v miernej nadmorskej výške 1150 m. Extrasystoly sme vyhodnotili z 24-hodinového EKG podľa Holtera. 24-hodinový výskyt obidvoch typov extrasystol bol vyšší ako u zdravých ľudí, u nekomplikovaného infarktu myokardu vyšší ako u chronickej respiračnej insuficiencie. Počas 24 hodín boli v obidvoch skupinách dva vrcholy výskytu supraventrikulárnych (okolo polnoci a menší okolo poludnia) a jeden vrchol komorových extrasystol (predpoludním alebo okolo poludnia). 24-hodinová periodicita extrasystol pri obidvoch ochoreniach je pravdepodobne podobná.

Keywords: Elektrokardiografia; Srdcové arytmie; Infarkt myokardu; Respiračná insuficiencia; Nadmorská výška

Myocardial infarction, chronic respiratory insufficiency and higher altitude are known to increase the cardiac arrhythmia occurrence. The aim of this study was to compare the 24-hour periodicity of supraventricular and ventricular extrasystoles in male patients over 50 years with uncomplicated myocardial infarction in the lowland and chronic respiratory insufficiency at the moderate altitude of 1150 m. Extrasystoles were evaluated from the 24-hour Holter ECG. The 24-hour occurrence of both types of extrasystoles was higher than in healthy persons, in uncomplicated myocardial infarction higher than in chronic respiratory insufficiency. In both groups two peaks of supraventricular (around midnight and a smaller one around noon) and one peak of ventricular extrasystoles (in the morning or around noon) were present. The 24-hour periodicity of extrasystoles in both diseases is probably similar.

Keywords: Electrocardiography; Cardiac arrhythmias; Myocardial infarction; Respiratory insufficiency; Altitude

Received: May 3, 2006; Published: December 1, 2006  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Kujaník, Š., Lukáčová, K., Mayer, M., Podracký, J., & Sninčák, M. (2006). Comparison of the 24-Hour Periodicity of Extrasystoles in Uncomplicated Myocardial Infarction in the Lowland and Altitude Chronic Respiratory Insufficiency - the First Results. Vojenské Zdravotnické Listy, 75(3-4), 101-106
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. BEHRENS, S. - FRANZ, MR. Circadian variation of arrhythmic events, electrophysiological properties, and the autonomic nervous system. Eur. Heart J., 2001, vol. 22, no. 23, p. 2144-2146. Go to original source... Go to PubMed...
    2. BERG, BW., et al. Hemodynamic effects of altitude exposure and oxygen administration in chronic obstructive pulmonary disease. Am. J. Med., 1993, vol. 94, no. 4, p. 407-412. Go to original source... Go to PubMed...
    3. BIGGS, FD., et al. Disturbances of rhythm in chronic lung disease. Heart Lung, 1977, vol. 6, no. 2, p. 256-261.
    4. DUKÁT, A., et al. Dlhodobé sledovanie pacientov s chronickou obštrukčnou chorobou pľúc pomocou ambulantného monitorovania elektrokardiogramu. Stud. pneumol. phtiseol. cechoslov., 1988a, roč. 48, č. 4, s. 219-224.
    5. DUKÁT, A., et al. Monitorovanie elektrokardiogramu metódou podľa Holtera počas výstupu lanovkou do vyššej nadmorskej výšky. Vnitř. Lék., 1988b, roč. 34, č. 10, s. 964-970.
    6. FLEG, JL. - KENNEDY, HL. Cardiac arrhythmias in a healthy elderly population. Detection by 24-hour ambulatory electrocardiography. Chest, 1982, vol. 81, no. 3, p. 302-307. Go to original source... Go to PubMed...
    7. GLASSER, SP. - CLARK, PI. - APPLEBAUM, HJ. Occurrence of frequent complex arrhythmias detected by ambulatory monitoring. Findings in an apparently healthy asymptomatic elderly population. Chest, 1979, vol. 75, no. 5, p. 565-568. Go to original source... Go to PubMed...
    8. GRAHAM, LN., et al. Time Course of Sympathetic Neural Hyperactivity After Uncomplicated Acute Myocardial Infarction. Circulation, 2002, vol. 106, no. 7, p. 793-797. Go to original source... Go to PubMed...
    9. HUDSON, LD., et al. Arrhythmias associated with acute respiratory failure in patients with chronic airway obstruction. Chest, 1973, vol. 63, no. 5, p. 661-665. Go to original source... Go to PubMed...
    10. KUJANÍK, Š. - MAYER, M. Holterovo monitorovanie EKG u pacientov s respiračnou insuficienciou - predbežné výsledky. Folia Fac. Med. Univ. Šafarik. Cassov., 1994, roč. 51, č. 1, s. 227-233.
    11. KUJANÍK, Š. - MAYER, M. - SNINČÁK, M., et al. Periodicity of Severe Arrhythmias in Chronic Respiratory Failure at Altitude above 1,000 m. In BACHÁROVÁ, L. - MacFARLANE, PW. (Eds). Electrocardiology 97. Proceedings of the XXIV International Congress on Electrocardiology. World Scientific, Singapore, 1998, p. 121-124.
    12. KUJANÍK, Š. - SNINČÁK, M. - VOKÁĽ, J., et al. Periodicity of arrhythmias in healthy elderly men at the moderate altitude. Physiol. Res., 2000a, vol. 49, no. 2, p. 285-287. Go to PubMed...
    13. KUJANÍK, Š. - SNINČÁK, M. - GALAJDOVÁ, K. - RACKOVÁ, K. Cardiovascular changes during sudden ascent in a cable cabin to the moderate altitude. Physiol. Res., 2000b, vol. 49, no. 6, p. 729-731. Go to PubMed...
    14. KUJANÍK, Š. Mechanizmy srdcových arytmií u chronických respiračných ochorení - novšie aspekty I. Stud. Pneumol. Phthiseol., 2002, roč. 62, č. 5, s. 179-182.
    15. KUJANÍK, Š. Mechanizmy srdcových arytmií u chronických respiračných ochorení - novšie aspekty II. Stud. Pneumol. Phthiseol., 2002, roč. 62, č. 5, s. 183-187.
    16. LINDE, C. Women and arrhythmias. Pacing Clin. Electrophysiol., 2000, vol. 23, no. 10, Part I, p. 1550-1560. Go to original source... Go to PubMed...
    17. RASMUSSEN, V., et al. Premature ventricular beats in healthy adult subjects 20 to 79 years of age. Eur. Heart J., 1985, vol. 6, no. 4, p. 335-341. Go to original source... Go to PubMed...
    18. RODEN, D.M., TAMKUN, M.M.: Toward a molecular view of cardiac arrhythmogenesis. Trends Cardiovasc. Med., 1994, vol. 4, p. 278-285. Go to original source... Go to PubMed...
    19. SHIH, H-T., et al. Frequency and significance of cardiac arrhythmias in chronic obstructive lung disease. Chest, 1988, vol. 94, no. 1, p. 44-48. Go to original source... Go to PubMed...
    20. SIN, DD. - MAN, SFP. Why are patients with chronic obstructive pulmonary disease at increased risk of cardiovascular diseases? The potential role of systemic inflammation in chronic obstructive pulmonary disease. Circulation, 2003, vol. 107, no. 11, p. 1514-1519. Go to original source... Go to PubMed...
    21. SZEKERES, L. - PAPP, G. Effect of arterial hypoxia on the susceptibility to arrhythmia of the heart. Acta Physiol. Acad. Sci. Hungar., 1967, vol. 32, no. 1/2, p. 143-162.
    22. TIRLAPUR, VG. - MIR, MA. Nocturnal hypoxemia and associated electrocardiographic changes in patients with chronic obstructive airways disease. N. Engl. J. Med., 1982, vol. 306, no. 3, p. 125-130. Go to original source... Go to PubMed...
    23. TURTON, MB. - DEEGAN, T. Circadian variations of plasma catecholamines, cortisol and immunoreactive insulin concentrations in supine subjects. Clin. Chim. Acta, 1974, vol. 55, no. 3, p. 389-397. Go to original source... Go to PubMed...

    Return to the content