Reperfusion arrhythmias after thrombolysis. Electrophysiologic tempest, or much ado about nothing.

Abstract:

:Arrhythmias that may accompany myocardial reperfusion have generated significant clinical interest. First, there were concerns, based on animal studies, that high-grade ventricular tachyarrhythmias would pose a serious threat following thrombolytic therapy to treat an evolving myocardial infarction. Second, lower-grade arrhythmias, such as accelerated idioventricular rhythm, were cited as useful, noninvasive markers of successful reperfusion. Critical review of the current data, however, indicates that arrhythmias following thrombolytic therapy for acute myocardial infarction are usually neither dangerous clinical events nor consistent markers of reperfusion.

journal_name

Chest

journal_title

Chest

authors

Krumholz HM,Goldberger AL

doi

10.1378/chest.99.4.135s

subject

Has Abstract

pub_date

1991-04-01 00:00:00

pages

135S-140S

issue

4 Suppl

eissn

0012-3692

issn

1931-3543

journal_volume

99

pub_type

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