OBJECTIVES: We prospectively performed a two-step risk assessment in @entity1 in the early phase after acute @entity583 ( @entity583 ). BACKGROUND: Noninvasive methods like @entity68780 ( @entity68780 ) and determination of the left ventricular ejection fraction (EF) as well as the invasive technique of programmed ventricular stimulation (PVS) have been used to identify @entity1 in the late phase after @entity583 as candidates for prophylactic implantation of a cardioverter/defibrillator. However, it is unclear whether these results can be transferred to @entity1 following @entity583 . METHODS: A series of 657 @entity1 with @entity583 (< or = 75 years) underwent @entity68780 and EF. If one of the two methods yielded abnormal findings ( @entity68780 > or = 20 ventricular ectopic beats/h/> or =10 ventricular pairs/day/ @entity1165 ; EF < or = 40%), PVS was done (abnormal PVS: induction of monomorphic @entity1165 , duration >10 s, cycle length > or = 230 ms). RESULTS: Of 657 @entity1 , 304 (46%) had either an abnormal @entity68780 or EF. The PVS performed in 146 of 304 @entity1 was abnormal in 22. During a mean follow-up of 37 months, there were 106 (16%) deaths, being sudden in 24 (3.6%), nonsudden cardiac in 45 (6.8%). The incidence of arrhythmic events ( @entity1164 , symptomatic @entity1165 , @entity1167 ) was 18% (4/22) with an abnormal PVS and only 4% (5/124) with a normal PVS (odds ratio 4.0, p=0.032). CONCLUSIONS: The rate of arrhythmic events is low in @entity583 @entity1 in the 1990s. Nevertheless, a two-step risk stratification is helpful in selecting candidates for a defibrillator trial aiming at primary prevention of @entity1164 after @entity583 .

Risk stratification following XXXX in the thrombolytic era: a two-step strategy using noninvasive and invasive methods.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1164 :: ('MESH:D016757', 'Disease') :: ['sudden cardiac death'] @entity1165 :: ('MESH:D017180', 'Disease') :: ['ventricular tachycardia'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity583 :: ('MESH:D009203', 'Disease') :: ['post-MI', 'acute MI', 'myocardial infarction', 'MI'] @entity68780 :: ('MESH:C566733', 'Disease') :: ['Holter electrocardiographic monitoring', 'HM']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
