Bradycardia in acute myocardial infarction

Czech version

Authors: J. Vlašínová
Authors‘ workplace: Interní kardiologická klinika, Fakultní nemocnice Brno
Published in: Kardiol Rev Int Med 2010, 12(Supplementum): 22-25

Overview

Ninety percent of patients in acute phase of myocardial infarction or shortly after its onset develop some kind of arrhythmia. atrioventricular block is the most common complication from within the bradycardias group, mostly affecting the patients with the inferior wall infarction. It has little bearing on the prognosis when associated with this type of location and therapy is often not needed. On the contrary, the atrioventricular block associated with myocardial infarction of the anterior wall is the sign of a serious ischemic damage and these patients are in danger of developing a complete atrioventricular block.

Keywords:
acute myocardial infarction – bradyarrhythmia – atrioventricular block – interventricular block

Sources

1. Štejfa M et al. Kardiologie. 3. ed. Praha: Grada Publishing 2007: 500–507.

2. Widimský P, Janoušek S, Vojáček J. Doporučení pro diagnostiku a léčbu akutního infarktu myokardu. Cor Vasa 2002; 44: K123–K143.

3. Ghuran AV, Camm AJ. Ischaemic heart disease presenting as arrhythmias. Br Med Bull 2001; 59: 193–210.

4. Staněk V. Infarkt myokardu. Praha: Avicenum 1986: 128–139.

5. Chung E. Principles of Cardiac Arrhythmias. 2nd ed. Baltimore: Lippincott Williams & Wilkins 1980: 672–695.

6. Kondur AK, Pawan H, Sridevi RP et al. Complications of Myocardial Infarction. Retrieved February 20, 2010 [http://emedicine.medscape.com/article/164924- overview].

7. Samadikhah J, Hakim SH, Asl AA et al. Arrhythmia and Conduction Disorders in Acute Inferior Myocardial Infarction with Right Ventricular Involvement. Rawal Med J 2007; 32: 135–138.

8. Táborský M, Kautzner J, Bytešník J et al. Zásady pro implantace kardiostimulátorů, implantabilních kardioverterů- defibrilátorů a systémů pro srdeční resynchronizační léčbu 2009. Cor Vasa 2009; 51: 602–614.

9. Bělohlávek J, Ascherman M. Doporučený postup pro diagnostiku a léčbu akutních koronárních syndromů bez elevací ST úseků na ekg. Cor Vasa 2008; 50: 1S7–1S23.

10. Huikuri HV, Mahaux V, Bloch-Thomsen PE et al. Cardiac Arrhythmias and Risk Stratification After Myocardial Infarction: Results of the CARISMA Pilot Study. Pacing Clin Electrophysiol 2003; 26 (1 Pt 2): 416–419.

11. Špinar J, Vítovec J. Jak dobře žít s nemocným srdcem. Praha: Grada 2007.

Labels

Paediatric cardiology Internal medicine Cardiac surgery Cardiology

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Article was published in

Cardiology Review

2010 Issue Supplementum