[Reperfusion arrhythmia as a sign of restoration of coronary circulation in patients with myocardial infarction].
Heart rhythm and conduction disturbances during the first day of myocardial infarction were analysed using Holter monitoring in 63 patients who were treated with thrombolytics or heparin under angiographic control. Patients with coronary reperfusion, developed as a result of thrombolytic therapy during the first 8 hours of the disease, exhibited higher frequency of ventricular ectopic complexes which was maximum during the first 30 minutes of coronary reperfusion. During this time interval various rhythm disturbances (including ventricular fibrillation in 11% of cases) were observed. If more than 75% of all the ventricular ectopic complexes during the two-hour period from the beginning of treatment occur from the 40th till the 90th minute, it strongly suggests the onset of thrombolytically induced coronary reperfusion in the first 8 hours of the disease.
Smirnov
A A
AA
Khakimov
A G
AG
Merkulova
I N
IN
Tagieva
I A
IA
Dorogun
B N
BN
D000328:Adult; D000368:Aged; D003326:Coronary Circulation / Q000187:drug effects*; D004359:Drug Therapy, Combination; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy* / Q000503:physiopathology; D013300:Streptokinase / Q000008:administration & dosage*; D014654:Vascular Patency / Q000187:drug effects; D014693:Ventricular Fibrillation / Q000139:chemically induced*
D006493:Heparin; D013300:Streptokinase
Reperfuzionnye aritmii kak priznak vosstanovleniia koronarnogo krovotoka u bol'nykh infarktom miokarda.