Document Detail

In-hospital arrhythmias in patients with acute myocardial infarction - the relation to the reperfusion strategy and their prognostic impact.
MedLine Citation:
PMID:  17924228     Owner:  NLM     Status:  MEDLINE    
Arrhythmias are frequent complication in patients with acute myocardial infarction (MI). The importance of accelerated idioventricular rhythm (AIVR), ventricular fibrillation or tachycardia (VF, VT), atrial fibrillation or flutter (AF) and bradycardias is considered and discussed in this review article. The value of the presence of AIVR as a marker of reperfusion is small, but in combination with other non-invasive markers (ST-segment resolution), its presence is connected with a high probability of successful reperfusion. Early ventricular arrhythmias are a serious complication of MI. However, if they are revealed and treated in time, they apparently do not represent a negative prognostic factor. Later occurred VF or VT are more a symptom of larger MI. AF, which is not directly life-threatening for the patients, frequently occurs in patients with larger MI and it is an independent predictor of a poor long-term prognosis of these patients. The early and successful reperfusion therapy is the best anti-arrhythmic therapeutic method in patients with MI.
Pavel P Osmancik; Petr Stros; Dalibor Herman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acute cardiac care     Volume:  10     ISSN:  1748-2941     ISO Abbreviation:  Acute Card Care     Publication Date:  2008  
Date Detail:
Created Date:  2008-05-01     Completed Date:  2008-09-23     Revised Date:  2009-11-17    
Medline Journal Info:
Nlm Unique ID:  101276603     Medline TA:  Acute Card Care     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  15-25     Citation Subset:  IM    
Cardiocenter, Department of Cardiology, 3rd Medical School, Charles University and University Hospital Kralovske Vinohrady in Prague, Czech Republic.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Arrhythmias, Cardiac / etiology*,  physiopathology
Bradycardia / etiology,  physiopathology
Myocardial Infarction / complications*,  mortality,  physiopathology,  therapy*
Myocardial Reperfusion
Tachycardia, Ventricular / epidemiology,  etiology,  physiopathology
Ventricular Fibrillation / epidemiology,  etiology,  physiopathology

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