R-on-T Phenomenon

Letters and Corrections1 July 1978R-on-T PhenomenonSEYMOUR HERSCHBERG, M.D.SEYMOUR HERSCHBERG, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-89-1-137 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Drs. Engel, Meister, and Frankl have implied in their article "The 'R-on-T' Phenomenon" (Ann Intern Med 88:221-225, 1978) that the R-on-T phenomenon may have little clinical significance in terms of mortality. Although this seems to be substantiated by their data, and is probably true, the interpretation depends on how one looks at the data.On page 223 under the subheading "Epidemiology of R-on-T," the reported increment of death among the insured population is 33%, and the reported increment in patients with coronary heart disease is 50%. Although the numbers are themselves small, when looked at as an...References1. SCHULZESTRAUSSPITT RHB: Sudden death in the year following myocardial infarction. Relation to ventricular premature contractions in the late hospital phase and left ventricular ejection fraction. Am J Med 62:192-199, 1977 CrossrefMedlineGoogle Scholar2. RUBERMANWEINBLATTGOLDBERGFRANKSHAPIRO WEJCS: Ventricular premature beats and mortality after myocardial infarction. N Engl J Med 297:750-757, 1977 CrossrefMedlineGoogle Scholar3. LOWNGRABOYS BT: Management of patients with malignant ventricular arrhythmias. Am J Cardiol 39:910-918, 1977 CrossrefMedlineGoogle Scholar4. GRABOYSDESILVALOWN TRB: Ambulatory monitoring and exercise stress testing in the management of patients with malignant ventricular arrhythmia (abstract). Am J Cardiol 41:400, 1978 CrossrefGoogle Scholar5. ARMINGTONGRABOYSLOWNLENSON RTBR: Semiautomated data reduction of ventricular ectopic activity: methodology and clinical application. Association for the Advancement of Medical Instrumentation Meetings, Washington, D.C., 1978 Google Scholar1. RODSTEINWOLLOCHGUBNER MLR: Mortality study of the significance of extrasystoles in an insured population. Circulation 44:617-625, 1971 CrossrefMedlineGoogle Scholar2. RUBERMANWEINBLATTFRANKGOLDBERGSHAPIROFELDMAN WECJSC: Ventricular premature beats and mortality of men with coronary heart disease. Circulation 52(suppl 3):III-199-III-201, 1975 Google Scholar3. RUBERMANWEINBLATTGOLDBERGFRANKSHAPIRO WEJCS: Ventricular premature beats and mortality after myocardial infarction. N Engl J Med 297:750-757, 1977 CrossrefMedlineGoogle Scholar4. LOWNGRABOYS BT: Management of patients with malignant ventricular arrhythmias. Am J Cardiol 39:910-918, 1977 CrossrefMedlineGoogle Scholar5. GRABOYSDESILVALOWN TRB: Ambulatory monitoring and exercise stress testing in the management of patients with malignant ventricular arrhythmia (abstract). Am J Cardiol 41:400, 1978 CrossrefGoogle Scholar6. SMIRKPALMER FD: A myocardial syndrome: with particular reference to the occurrence of sudden death and of premature systoles interrupting antecedent T waves. Am J Cardiol 6:620-629, 1960 CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Misericordia Hospital Medical Center Bronx, NY 10451 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 July 1978Volume 89, Issue 1Page: 137-139KeywordsCoronary heart diseaseEpidemiologyMortality Issue Published: 1 July 1978 PDF DownloadLoading ...