[Device therapy after acute coronary syndrome].
Acute coronary syndromes are seldom accompanied by high degree AV blocks. Implantation of a permanent pacemaker is rarely necessary.There is a high incidence of ventricular tachyarrhythmias during the acute phase of myocardial infarctions. Sustained VT or VF beyond 48 hours of the infarction indicate the need for an implantable cardioverter-defibrillator. If left ventricular ejecion fraction remains ≤35 % for >40 days an ICD might be indicated for primary prophylaxis.If early after infarction a device implantation becomes necessary, biventricular stimulation should be used if ventricular pacing is necessary or LBBB with markedly increased QRS-duration is present.
Cardioangiologisches Centrum Bethanien, Frankfurt.
O
O
Przibille
II. Medizinische Klinik und Poliklinik, Johannes Gutenberg-Universität, Mainz.
E
E
Himmrich
Cardioangiologisches Centrum Bethanien, Frankfurt.
K
K
Andreas
Cardioangiologisches Centrum Bethanien, Frankfurt.
B
B
Nowak
D054058:Acute Coronary Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D054537:Atrioventricular Block / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D001919:Bradycardia / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D058406:Cardiac Resynchronization Therapy; D017147:Defibrillators, Implantable; D004562:Electrocardiography; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D010138:Pacemaker, Artificial; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy