Key result
Treatment of arrhythmias after acute myocardial infarction depends on infarct pathophysiology and contributing medical factors, with pacemaker therapy being helpful in some patients.
Optimal treatment of arrhythmias post-myocardial infarction depends on infarct pathophysiology and contributing medical factors, with pacemaker therapy being helpful in some cases.
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May guide individualized post-MI arrhythmia care by pathophysiology; leaves open targeted trials on pacing indications.
The most common arrhythmias associated with inferior-wall and anterior-wall myocardial infarction are bradycardia and supraventricular and ventricular tachycardia. Optimal treatment approaches are based on the pathophysiology of the infarct and the presence of contributing medical factors (eg, congestive heart failure, metabolic disorders). Temporary or permanent pacemaker therapy is helpful in some patients. Sudden death due to arrhythmia after myocardial infarction may be predicted and avoided in certain situations.
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Granrud et al. (1991) conducted a review in Arrhythmias and acute myocardial infarction. Treatment of arrhythmias after acute myocardial infarction depends on infarct pathophysiology and contributing medical factors, with pacemaker therapy being helpful in some patients.
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