Key result
Early and successful reperfusion therapy is the best anti-arrhythmic therapeutic method in patients with acute myocardial infarction, while atrial fibrillation predicts poor long-term prognosis.
Why the study?
What is the prognostic impact of in-hospital arrhythmias in patients with acute myocardial infarction and their relation to reperfusion strategy?
What is the prognostic impact of in-hospital arrhythmias in patients with acute myocardial infarction and their relation to reperfusion strategy?
Early and successful reperfusion therapy is the most effective anti-arrhythmic strategy for patients with acute MI, and while early ventricular arrhythmias are manageable, atrial fibrillation indicates a larger MI and poorer long-term prognosis.
Supports reperfusion as primary anti-arrhythmic strategy in AMI; leaves open optimal AF management in large infarcts.
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.
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Osmančík et al. (2008) conducted a review in acute myocardial infarction. Reperfusion therapy was evaluated. Early and successful reperfusion therapy is the best anti-arrhythmic therapeutic method in patients with acute myocardial infarction, while atrial fibrillation predicts poor long-term prognosis.
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