open access

Vol 12, No 1 (2017)
Guidelines and Clinical Practice — a Discussion Forum for Cardiologists
Published online: 2017-03-03
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Persistent, life-threatening ventricular arrhythmias as a late manifestation of reperfusion in a patient with myocardial infarction treated with coronary angioplasty

Michał Marian Bączek, Marian Sierant, Iwona Gorczyca-Michta, Kamilla Wesołowska, Beata Wożakowska-Kapłon
DOI: 10.5603/FC.2017.0018
·
Folia Cardiologica 2017;12(1):124-127.

open access

Vol 12, No 1 (2017)
Guidelines and Clinical Practice — a Discussion Forum for Cardiologists
Published online: 2017-03-03

Abstract

We present a case of a 66-year-old patient with myocardial infarction with ST-segment elevation, multivessel coronary artery disease and recurrent ventricular tachycardia after percutaneous coronary angioplasty. Patient was transferred to our Clinic to consider implantable cardioverter-defibrillator implantation. On the basis of the presented case, authors point out difficulties in making decisions concerning management of patients with persistent ventricular arrhythmias complicating acute coronary syndrome.

Abstract

We present a case of a 66-year-old patient with myocardial infarction with ST-segment elevation, multivessel coronary artery disease and recurrent ventricular tachycardia after percutaneous coronary angioplasty. Patient was transferred to our Clinic to consider implantable cardioverter-defibrillator implantation. On the basis of the presented case, authors point out difficulties in making decisions concerning management of patients with persistent ventricular arrhythmias complicating acute coronary syndrome.

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Keywords

ventricular arrhythmias; ventricular tachycardia; ventricular fibrillation; coronary artery complication

Supplementary Files (1)
Komentarz do artykułu Uporczywe, groźne komorowe zaburzenia rytmu jako późny objaw reperfuzji u chorego z zawałem mięśnia serca leczonego angioplastyką tętnic wieńcowych
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About this article
Title

Persistent, life-threatening ventricular arrhythmias as a late manifestation of reperfusion in a patient with myocardial infarction treated with coronary angioplasty

Journal

Folia Cardiologica

Issue

Vol 12, No 1 (2017)

Pages

124-127

Published online

2017-03-03

DOI

10.5603/FC.2017.0018

Bibliographic record

Folia Cardiologica 2017;12(1):124-127.

Keywords

ventricular arrhythmias
ventricular tachycardia
ventricular fibrillation
coronary artery complication

Authors

Michał Marian Bączek
Marian Sierant
Iwona Gorczyca-Michta
Kamilla Wesołowska
Beata Wożakowska-Kapłon

References (6)
  1. Mehta RH, Starr AZ, Lopes RD, et al. APEX AMI Investigators. Incidence of and outcomes associated with ventricular tachycardia or fibrillation in patients undergoing primary percutaneous coronary intervention. JAMA. 2009; 301(17): 1779–1789.
  2. Janse MJ, Wit AL. Electrophysiological mechanisms of ventricular arrhythmias resulting from myocardial ischemia and infarction. Physiol Rev. 1989; 69(4): 1049–1169.
  3. Airaksinen KE, Ikäheimo MJ, Huikuri HV. Stenosis severity and the occurrence of ventricular ectopic activity during acute coronary occlusion during balloon angioplasty. Am J Cardiol. 1995; 76(5): 346–349.
  4. Berger PB, Ruocco NA, Ryan TJ, et al. Incidence and significance of ventricular tachycardia and fibrillation in the absence of hypotension or heart failure in acute myocardial infarction treated with recombinant tissue-type plasminogen activator: results from the Thrombolysis in Myocardial Infarction (TIMI) Phase II trial. J Am Coll Cardiol. 1993; 22(7): 1773–1779.
  5. Gacioch GM, Topol EJ. Sudden paradoxic clinical deterioration during angioplasty of the occluded right coronary artery in acute myocardial infarction. J Am Coll Cardiol. 1989; 14(5): 1202–1209.
  6. Priori S, Blomström-Lundqvist C, Mazzanti A, et al. Wytyczne ESC dotyczące postępowania u pacjentów z komorowymi zaburzeniami rytmu oraz zapobiegania nagłym zgonom sercowym w 2015 roku. Kardiol Pol. 2015; 73(10): 795–900.

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