Document Detail

Electrophysiological instability in the acute phase: prognostic significance of early ventricular fibrillation in acute myocardial infarction.
MedLine Citation:
PMID:  11019596     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In the prognostic stratification of patients affected by AMI is important to evaluate, besides the assessment of left ventricular function and residual ischemia, the presence of electrophysiological instability. METHODS: We have analysed 15 patients all affected by AMI complicated by early ventricular fibrillation. During the hospital phase we evaluated the E.F.% (ECHO) and the presence of late ventricular potentials (SAECG). After hospital discharge we followed up the patients for 6 months. RESULTS: None of the patients died during the hospital phase while the posthospital cardiac mortality was 20%. The three patients dead during the follow-up had an AMI localized in the anterolateral wall of the left ventricle, an E.F.% less than 40% and LVP positive in the hospital phase. Besides the clinical course was complicated by cardiac failure. CONCLUSIONS: We conclude that these three patients are a "high risk profile subgroup" and should be submitted to extensive evaluation with cardiac catheterization, coronary arteriography and programmed ventricular stimulation.
M M Martinelli; A Danesi; G Greco; A Carunchio; L Pandolfo; V Ceci
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Panminerva medica     Volume:  42     ISSN:  0031-0808     ISO Abbreviation:  Panminerva Med     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-10-18     Completed Date:  2000-10-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421110     Medline TA:  Panminerva Med     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  1-5     Citation Subset:  IM    
Department of Cardiology, Santo Spirito Hospital, Rome, Italy.
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MeSH Terms
Aged, 80 and over
Middle Aged
Myocardial Infarction / complications*,  mortality,  physiopathology*,  ultrasonography
Ventricular Fibrillation / etiology*
Ventricular Function, Left

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