TABLE 2.
Predictors of Ventricular Arrhythmias in the 108 Patients With ICDs
Clinical Characteristics | No Arrhythmia (n = 60) | Arrhythmia (n = 48) | p Value |
---|---|---|---|
Age at enrollment, yrs | 41 ± 14 | 38 ± 14 | 0.413 |
Age at earliest symptom, yrs | 37 ± 14 | 35 ± 15 | 0.609 |
Female | 27 (45) | 16 (33) | 0.218 |
Affected (by Task Force Criteria) | 37 (62) | 40 (83) | 0.013 |
Diagnostic criteria points (1994 criteria) | 4.2 ± 1.0 | 4.3 ± 1.2 | 0.84 |
Arrhythmic events (VT/VF) before enrollment | 34 (57) | 45 (94) | <0.001 |
Syncope before enrollment | 14 (23) | 14 (29) | 0.492 |
Syncope or VT/VF before enrollment | 36 (60) | 46 (96) | <0.001 |
Family history of sudden death | 22 (42) | 16 (36) | 0.960 |
Follow-up, yrs | 3.0 ± 1.8 | 3.5 ± 1.5 | 0.114 |
Heart transplant | 2 (3) | 1 (2) | 1.000 |
Death | 1 (2) | 1 (2) | 1.000 |
Antiarrhythmic drug treatment | 19 (39) | 34 (72) | <0.001 |
Beta-blockers | 41 (84) | 39 (83) | 0.927 |
RVEF (%) by MRI, mean | 43 ± 11 | 43 ± 13 | 0.334 |
LVEF (%) by MRI, mean | 59.74 ± 6.42 | 55.65 ± 4.79 | 0.009 |
Negative T-wave in leads II, III, aVF | 19 (32) | 33 (69) | <0.001 |
QRS duration in V2, mean | 0.103 ± 0.023 | 0.108 ± 0.021 | 0.055 |
fQRS40, mean | 116.9 | 126.5 | 0.011 |
fQRS40 >120 | 16 (33) | 21 (55) | 0.041 |
VPBs (ventricular total >1,000/24 h) | 25 (58) | 18 (51) | 0.553 |
Any induced VT or VF | 30 (50) | 33 (69) | 0.050 |
Values are mean ± SD or n (%). Predictors of arrhythmias after ICD implantation included definite diagnosis of ARVC, VT/VF before enrollment, syncope or VT/VF before enrollment, antiarrhythmic drug treatment, negative T-wave in leads II, III, aVF, abnormal SAECG by fQRS40 mean and >140 ms, induced VT/VF. The 2 independent predictors of ICD treatment of ventricular arrhythmias were pre-implantation sustained VT/VF (p = 0.0029) and T-wave inversions inferiorly (p = 0.0159).
EPS = electrophysiologic study; VPB = ventricular premature beat; VF = ventricular fibrillation; other abbreviations as in Table 1.