Naslov
Urgent PCI vs. thrombolysis as seen through reperfusion arrhythmias.

Autori
Babić, Zdravko ; Nikolić Heitzler, Vjeran ; Bulj, Nikola ; Mavrić, Željko ; Tomulić, Vjekoslav ; Manola, Šime ; Car, Siniša ; Mihatov Šime.

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Skup
Acute Cardiac Care

Mjesto i datum
Rim, Italija, 2004

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Reperfusion arrhythmias; Myocadial infarction; Therapy

Sažetak
AIM: The large number of trials showed the advantage of primary PCI, when compared with thrombolysis, in the treatment of ST-elevation myocardial infarction (STEMI). Using data on the frequency and treatment of reperfusion arrhytmias (RA) as noninvasive evidence of successful coronary artery recanalization, the authors compared the two treatments for STEMI. PATIENTS AND METHODS: The investigated RA were premature ventricular complexes, non-sustained ventricular tachycardia, accelerated idioventricular rhythm, high-degree atrio-ventricular block, ventricular fibrilation, sinus bradycardia and sustained ventricular tachycardia. The treatment of RA, introduced because of hemodinamical instability and/or subjective discomfort, included lidocain, electrocardioversion, atropin, temporary electrostimulation and amiodaron. RESULTS: The group of patients treated with primary PCI (82 patients) had a higher frequency of almost all reperfusion arrhytmias, especially of non-sustained ventricular tachycardia, with the exception of premature ventricular complexes, which were more frequent in the streptokinase group (65 patients). The percentage of patients who had indications for therapy of reperfusion arrhytmias was also higher in the PCI group, generally and especially for lidocain. CONCLUSION: These results additionally confirm the superiority of PCI in the urgent therapy of STEMI.

Izvorni jezik
Engleski

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