[The structure of the ventricular arrhythmias in patients in the first 24 hours of a myocardial infarct].
Therapeutic interventions policy and efficiency rely on whether one succeeds in identifying accurately and in timely fashion the nature of ventricular arrhythmia which is frequently a primary manifestation of acute coronary disaster. With the view to studying cardiac arrhythmias in 85 patients with acute large size myocardial infarction admitted within 12 hours of the condition development. 24 h Holter monitoring was instituted. The results obtained showed only 27% of patients at relatively low risk development of life-threatening arrhythmias. In all the others, high grades ventricular extrasystoles are recorded, including episodes of ventricular tachycardia in 50% of the patients. High incidence rate of the complex rhythm disturbances development during first 12 hours of monitoring suggest a need for an adequate supplementary antiarrhythmic treatment to be administered within this time period, subsequent to which anti-ischemic therapy is thought to be capable of exerting sufficient antiarrhythmic effect.
Bobrov
V A
VA
Malinovskaia
I E
IE
Tashchuk
V K
VK
Shumakov
V A
VA
Sirenko
Iu N
IuN
Sychev
O S
OS
Babiĭ
L N
LN
D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology; D002940:Circadian Rhythm; D004562:Electrocardiography; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D012307:Risk Factors; D012815:Signal Processing, Computer-Assisted; D013997:Time Factors