TY - JOUR
T1 - Association of premature ventricular complexes with central aortic pressure indices and pulse wave velocity
AU - Chen, Ju Yi
AU - Tsai, Wei Chuan
AU - Lee, Yung Ling
AU - Lee, Cheng Han
AU - Tsai, Liang Miin
AU - Chao, Ting Hsing
AU - Li, Yi Heng
AU - Chen, Jyh Hong
AU - Lin, Li Jen
PY - 2008/3
Y1 - 2008/3
N2 - Background: Although premature ventricular complex (PVC) occurs frequently, its predisposing factors have rarely been studied. We examined the connection between PVC and aortic stiffness. Methods: We recruited 200 consecutive patients (<50 years, 95 men, mean age 36 ± 10 years) who received a 24-hour ambulatory electrocardiography examination for palpitation and PVC loads. Muscular artery pulse wave velocity (PWVm) and 4 main aortic pressure indices-augmented pressure, augmentation index (AIx), AIx corrected for a steady heart rate of 75 beat/min, and the extra workload-were measured, and atherosclerosis risk was evaluated. Results: Eighty-three (42%) patients had no PVC loads; 58 (29%) patients had low loads (<24 beat/d), and 59 (29%) had high loads (≥24 beat/d). Only age and hyperlipidemia were significantly associated with PVC loads. Using a multivariate logistic regression model adjusted for potential confounders, we found that AIx (odds ratio [OR] 1.88, 95% CI 1.20-2.91, P = .005); augmented pressure (OR 1.57, 95% CI 1.02-2.43, P = .042); AIx corrected for a steady heart rate of 75 beat/min (OR 1.82, 95% CI 1.18-2.82, P = .007); and PWVm (OR 1.53, 95% CI 1.07-2.19, P = .021) were independent factors for PVC loads. Conclusion: Increased central aortic pressure indices as well as PWVm were associated with increased PVC loads in young patients undergoing 24-hour ambulatory electrocardiography. Central aortic properties probably contributed to the occurrence of PVC.
AB - Background: Although premature ventricular complex (PVC) occurs frequently, its predisposing factors have rarely been studied. We examined the connection between PVC and aortic stiffness. Methods: We recruited 200 consecutive patients (<50 years, 95 men, mean age 36 ± 10 years) who received a 24-hour ambulatory electrocardiography examination for palpitation and PVC loads. Muscular artery pulse wave velocity (PWVm) and 4 main aortic pressure indices-augmented pressure, augmentation index (AIx), AIx corrected for a steady heart rate of 75 beat/min, and the extra workload-were measured, and atherosclerosis risk was evaluated. Results: Eighty-three (42%) patients had no PVC loads; 58 (29%) patients had low loads (<24 beat/d), and 59 (29%) had high loads (≥24 beat/d). Only age and hyperlipidemia were significantly associated with PVC loads. Using a multivariate logistic regression model adjusted for potential confounders, we found that AIx (odds ratio [OR] 1.88, 95% CI 1.20-2.91, P = .005); augmented pressure (OR 1.57, 95% CI 1.02-2.43, P = .042); AIx corrected for a steady heart rate of 75 beat/min (OR 1.82, 95% CI 1.18-2.82, P = .007); and PWVm (OR 1.53, 95% CI 1.07-2.19, P = .021) were independent factors for PVC loads. Conclusion: Increased central aortic pressure indices as well as PWVm were associated with increased PVC loads in young patients undergoing 24-hour ambulatory electrocardiography. Central aortic properties probably contributed to the occurrence of PVC.
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U2 - 10.1016/j.ahj.2007.11.033
DO - 10.1016/j.ahj.2007.11.033
M3 - Article
C2 - 18294486
AN - SCOPUS:39149130708
VL - 155
SP - 500.e1-500.e6
JO - American Heart Journal
JF - American Heart Journal
SN - 0002-8703
IS - 3
ER -