Causes
Clinical
features
Investigations
Therapy
Prognosis
|  |  | | Prognosis |
Death is more likely with
an abnormal ECG
a
particularly
-
frequent (> 10/ hour ) or repetitive (> 2 consecutive) premature ventricular contractions
a
-
sinus pause > 2 sec
a
Why?
Heart and renal failure and certain arrhythmias increase the risk of dying
| Patient |
Prognostic Factor |
Outcome |
CER |
OR (95% CI) |
NNF+
(95% CI) |
unexplained syncope
a
|
congestive heart failure
independent
|
death
at
2
years
|
16%
(11% to 20%)
|
4 (1.9 to
8.1) |
4
(2 to
10)
|
|
|
creatinine > 2.0 mg/dl
independent
|
|
|
7.9 (3.3 to
18.9) |
2
(2 to
4)
|
|
|
frequent or repetitive PVCs
independent
|
|
|
3.7 (1.8 to
7.5) |
4
(2 to
11)
|
|
|
sinus pause > 2 sec
independent
|
|
|
3.3 (1.1 to
9.6) |
4
(2 to
77)
|
Frequent or repetitive premature ventricular contractions increase the risk of sudden death
| Patient |
Prognostic Factor |
Outcome |
CER |
OR (95% CI) |
NNF+
(95% CI) |
unexplained syncope
a
|
frequent or repetitive PVCs
independent
|
sudden death
at
2
years
|
7%
(4% to 10%)
|
14.9 (4 to
55.7) |
2
(1 to
6)
|
|