Reperfusion arrhythmias: a myth?

作者: G. Breithardt , G. Hindricks , M. Block , M. Borggrefe , Th. Budde

DOI: 10.1016/S0268-9499(08)80018-5

关键词: Clinical eventsReperfusion arrhythmiasFibrillationAnimal studiesMyocardial infarctionAnesthesiaVentricular TachyarrhythmiasInfarctionVentricular fibrillationMedicineCardiologyInternal medicine

摘要: Summary Serious ventricular arrhythmias may accompany myocardial reperfusion. These have generated significant clinical interest. Based on animal studies, there were concerns that high-grade tachyarrhythmias would pose a serious threat following thrombolytic therapy to treat an evolving infarction. On the other hand, less harmful such as accelerated idioventricular rhythms concur with opening of vessel, and thus be useful, noninvasive markers successful Overall, review current data indicates most for acute infarction are usually neither dangerous events (except fibrillation) nor consistent Nevertheless, is evidence presence sustained tachycardia or fibrillation during first 24 hours related poor prognosis in-hospital stay.

参考文章(50)
Antonio G. Hermosillo, Miguel Dorado, J.Miguel Casanova, Sergio Ponce de Leon, Jorge Cossio, Sergio Kersenovich, Luis Colin, Pedro Iturralde, Influence of infarct-related artery patency on the indexes of parasympathetic activity and prevalence of late potentials in survivors of acute myocardial infarction. Journal of the American College of Cardiology. ,vol. 22, pp. 695- 706 ,(1993) , 10.1016/0735-1097(93)90179-5
Roberto FE Pedretti, Enrica Colombo, Simona Sarzi Braga, None, Effect of thrombolysis on heart rate variability and life-threatening ventricular arrhythmias in survivors of acute myocardial infarction Journal of the American College of Cardiology. ,vol. 23, pp. 19- 26 ,(1994) , 10.1016/0735-1097(94)90497-9
G Schuler, R Hambrecht, G Schlierf, J Niebauer, K Hauer, J Neumann, E Hoberg, A Drinkmann, F Bacher, M Grunze, Regular physical exercise and low-fat diet. Effects on progression of coronary artery disease. Circulation. ,vol. 86, pp. 1- 11 ,(1992) , 10.1161/01.CIR.86.1.1
James E. Dalen, Joel M. Gore, Eugene Braunwald, Jeffrey Borer, Robert J. Goldberg, Eugene R. Passamani, Sandra Forman, Genell Knatterud, The TIMI Investigators, Six- and Twelve-Month Follow-Up of the Phase I Thrombolysis in Myocardial Infarction (TIMI) Trial American Journal of Cardiology. ,vol. 62, pp. 179- 185 ,(1988) , 10.1016/0002-9149(88)90208-1
G Breithardt, M Borggrefe, U Karbenn, Late potentials as predictors of risk after thrombolytic treatment Heart. ,vol. 64, pp. 174- 176 ,(1990) , 10.1136/HRT.64.3.174