Prognostic significance and treatment of early ventricular arrhythmias occuring within the acute phase of myocardial infarction
https://doi.org/10.29001/2073-8552-2015-30-1-123-128
Abstract
The prognosis following acute myocardial infarction (MI) has improved considerably in recent decades, essentially due to the development of percutaneous coronary intervention and improved medical therapy, including administration of thrombolytic agents. However, despite these major advances, ventricular fibrillation (VF) or rapid ventricular tachycardia (VT) still occur during the acute phase of MI in 2-8% of cases. Post-MI VA is traditionally divided into two types: early VA occurs within 48 h of MI symptom onset, whereas late VA occurs over 48 h after MI. Early VA is often attributed to the transient ischaemic settings. Several studies have shown that patients who develop VF during the acute phase of MI have a higher risk of death in the short-term. In contrast, data on mid-to-long-term survival are limited and controversial. Late VA, particularly sustained monomorphic ventricular tachycardia (VT), is more frequently due to a reentrant mechanism resulting from the presence of scar tissue, and the arrhythmogenic substrate is thought to be irreversible in these patients. While consensus guidelines agree that survivors of late VA after MI should be given an implantable cardioverter-defibrillator (ICD) prior to hospital discharge, the utility of ICDs for patients experiencing early VA after MI is less deanite.
About the Authors
M. Z. Idrisov
Federal State Budgetary Scientific Institution "Research Institute for Cardiology"
Russian Federation
Russian Federation
S. V. Popov
Federal State Budgetary Scientific Institution "Research Institute for Cardiology"
Russian Federation
Russian Federation
R. E. Batalov
Federal State Budgetary Scientific Institution "Research Institute for Cardiology"
Russian Federation
Russian Federation
E. V. Borisova
Federal State Budgetary Scientific Institution "Research Institute for Cardiology"
Russian Federation
Russian Federation
I. V. Maximov
Federal State Budgetary Scientific Institution "Research Institute for Cardiology"
Russian Federation
Russian Federation
References
1. Antman E.M., Cohen M., Bernink P.J. et al. The TIMI risk score for unstable angina/non-ST elevation MI: a method for prognostication and therapeutic decision making // JAMA. -2000. - Vol. 284. - P. 835-842.
2. Fox K.A., Dabbous O.H., Goldberg R.J. et al. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GrAcE) // BMJ. - 2006. -Vol. 333. - P. 1091.
3. Khot U.N., Jia G., Moliterno D.J. et al. Prognostic importance of physical examination for heart failure in non-ST-elevation acute coronary syndromes: the enduring value of Killip classification // JAMA. - 2003. - Vol. 290. - P. 2174-2181.
4. Aragam K.G., Tamhane U.U., Kline-Rogers E. et al. Does simplicity compromise accuracy in ACS risk prediction? A retrospective analysis of the TIMI and GRACE risk scores // PLoS One. - 2009. - Vol. 4. - P. e7947.
5. De Jong J.S., Marsman R.F., Henriques J.P. et al. Prognosis among survivors of primary ventricular fibrillation in the percutaneous coronary intervention era // Am. Heart J. - 2009. - Vol. 158, No. 3. - P. 467-472.
6. Bougouin W., Marijon E., Puymirat E. et al. FAST-MI Registry Investigators. Incidence of sudden cardiac death after ventricular fibrillation complicating acute myocardial infarction: a 5-year cause-of-death analysis of the fAsT-MI 2005 registry // Eur. Heart J. - 2014. - Vol. 35, No. 2. - P. 116-122.
7. Spaulding C.M., Joly L.M., Rosenberg A. et al. Immediate coronary angiography in survivors of out-of-hospital cardiac arrest // N. Engl. J. Med. - 1997. - Vol. 336(23). - P. 1629-1633.
8. Radsel P., Knafelj R., Kocjancic S., Noc M. Angiographic characteristics of coronary disease and postresuscitation electrocardiograms in patients with aborted cardiac arrest outside a hospital // Am. J. Cardiol. - 2011. - Vol. 108(5). -P. 634-638.
9. Anyfantakis Z.A., Baron G., Aubry P. et al. Acute coronary angiographic andings in survivors of out-of-hospital cardiac arrest // Am. Heart J. - 2009. - Vol. 157(2). - P. 312-318.
10. Dumas F., Cariou A., Manzo-Silberman S. et al. Immediate percutaneous coronary intervention is associated with better survival after out-of-hospital cardiac arrest: insights from the PROCAT (Parisian Region Out of hospital Cardiac ArresT) registry // Circ. Cardiovasc. Interv. - 2010. - Vol. 3(3). - P. 200207.
11. Cronier P., Vignon P., Bouferrache K. et al. Impact of routine percutaneous coronary intervention after out-of-hospital cardiac arrest due to ventricular febrillation // Crit. Care. - 2011. - Vol. 15(3). - P. R122.
12. Christ M., von Auenmueller K.I., Dierschke W. et al. (2014). Coronary angiography in patients with and without STEMI following out-of-hospital cardiac arrest [Электронный ресурс] // Open Journal of Internal Medicine. - No. 4. - P. 115-122. -URL: http://dx.doi.org/10.4236/ojim.2014.44018 (дата обращения 16.02.2015).
13. Holay M.P., Janbandhu A., Javahirani A. et al. Clinical profile of acute myocardial infarction in elderly (prospective study) [Электронный ресурс] // JAPI. - 2007. - Vol. 55. - URL: http://www.japi.org/march2007/O’188.pdf (дата обращения 28.03.2013).
14. Armstrong P.W., Boden E.W. Reperfusion paradox in st’segment elevation myocardial infarction // Ann. Intern. Med. - 2011. -Vol. 155(6). - P. 389-391.
15. Yan A.T., Yan R.T., Cantor W.J. et al. For the TRANSFER’AMI Investigators. Relationship between risk stratification at admission and treatment effects of early invasive management following fibrinolysis: insights from the Trial of Routine Angioplasty and Stenting after Fibrinolysis to Enhance Reperfusion in Acute Myocardial Infarction (TRANSFER’AMI) // Eur. Heart J. - 2011. - No. 32(16). - P. 1994-2002.
16. Эрлих А.Д., Харченко М.С., Барбараш О.Л. и др. Степень приверженности к выполнению руководств по лечению острого коронарного синдрома в клинической практике российских стационаров и исходы в период госпитализации (данные регистра “РЕКОРД’2”) // Кардиология. - 2013. -№ 2. - С. 14-22.
17. Liang J.J., Hodge D.O., Mehta R.A. et al. Outcomes in patients with sustained ventricular tachyarrhythmias occurring within 48 h of acute myocardial infarction: when is ICD appropriate? // Europace. - 2014. - Vol. 16, No. 12. - P. 1759-1766.
18. Vardas P.E., Auricchio A., Blanc J.J. Guidelines for cardiac pacing and cardiac resynchronization therapy: The Task Force for Cardiac Pacing and Cardiac Resynchronization Therapy of the European Society of Cardiology. Developed in collaboration with the European Heart Rhythm Association // Eur. Heart J. - 2007. - Vol. 28. - P. 2256-2295.
19. Zipes D.P., Camm A.J., Borggrefe M. et al. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death- executive summary: A report of the American College of Cardiology / American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death) Developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society // Eur. Heart J. - 2006. - Vol. 27. -P. 2099-2140.
20. Бокерия Л.А., Ревишвили А.Ш., Голицын С.П. Клинические рекомендации по проведению электрофизиологических исследований катетерной абляции и применению имплантируемых антиаритмических устройств. ВНОА. - 3-е изд., доп. и перераб. - М.: Макс Пресс, 2013. - 596 с.
21. Taylor J. 2012 ESC Guidelines on acute myocardial infarction STEMI // Eur. Heart J. - 2012. - Vol. 33(20). - P. 2501-2502.
22. Piccini J.P., Schulte P.J., Pieper K.S. et al. Antiarrhythmic drug therapy for sustained ventricular arrhythmias complicating acute myocardial infarction // Crit. Care Med. - 2011. - Vol. 39. - P. 78-83.
Review
For citations:
Idrisov M.Z., Popov S.V., Batalov R.E., Borisova E.V., Maximov I.V. Prognostic significance and treatment of early ventricular arrhythmias occuring within the acute phase of myocardial infarction. Siberian Journal of Clinical and Experimental Medicine. 2015;30(1):123-128. (In Russ.) https://doi.org/10.29001/2073-8552-2015-30-1-123-128
Views:
507
.png)
Email this article 