Abstract
In the patient with acute myocardial infarction (MI), the clinician may encounter a variety of abnormal cardiac rhythms and conduction disturbances. The incidence of specific arrhythmias varies, depending on the time from onset of infarction (table 4-1). In order to catalog these rhythm disturbances, several classification schemes have been proposed. According to a modified version of the scheme developed by Lown in 1969, arrhythmias in patients with acute MI may be divided into three broad categories [1]:
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1.
Arrhythmias due to electrical instability.
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2.
Arrhythmias due to pump failure/excessive sympathetic stimulation.
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3.
Bradyarrhythmias and conduction disturbances.
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References
Lown B: The philosophy of coronary care. Arch Klin Med 216: 201–241, 1969.
Bigger JT, Dresdale RJ, Heissenbuttel RH, et al: Ventricular arrhythmias in Ischemic heart disease: Mechanisms, prevalence, significance, and management. Progr Cardiovasc Dis 19: 255–300, 1977.
Lown B, Wolf M: Approaches to sudden death from coronary heart disease. Circulation 44: 130–142, 1971.
Lie KI, Wellens HJJ, Durrer D: Characteristics and predictability of primary ventricular fibrillation. Eur J Cardiol 1:379, 1974.
Dhurandhar RW, MacMillan RL, Brown KWG: Primary ventricular fibrillation complicating acute myocardial infarction. Am J Cardiol 27:347, 1971.
Romhilt DW, Bloomfield SS, Chou TC, et al: Unreliability of conventional electrocardio-graphic monitoring for arrhythmia detection in coronary care units. Am J Cardiol 31:457, 1973.
Lie KI, Wellens, HJJ, van Capelle FJ, et al: Lidocaine in the prevention of primary ventricular fibrillation. N Engl J Med 291:1324, 1974.
Horwitz RI, Feinstein AR: Improved observational method for studying therapeutic efficacy. Suggestive evidence that lidocaine prophylaxis prevents death in acute myocardial infarction. JAMA 246: 2455–2459, 1981.
Goldman L, Batsford WP: Risk-Benefit Stratification as a guide to lidocaine prophylaxis of primary ventricular fibrillation in acute myocardial infarction: An analytic review. Yale J Biol Med 52: 455–466, 1979.
DeSilva RA, Lown B, Hennekens CH, Casscells W: Lidocaine prophylaxis in acute myocardial infarction: An evaluation of randomised trials. Lancet 1: 855–858, 1981.
Thomson PD, Melman KL, Richardson JA, et al: Lidocaine pharmacokinetics in advanced heart failure, liver disease, and renal failure in humans. Ann Intern Med 78: 499–508, 1973.
Feely J. Wilkinson GR, McAllister CB, Wood AJJ: Increased toxicity and reduced clearance of lidocaine by cimetidine. Ann Intern Med 96: 592–594, 1982.
Taylor GJ, Crampton RS, Gibson RS, et al: Prolonged QT interval at onset of acute myocardial infarction in predicting early phase ventricular tachycardia. Am Heart J 102: 16–24, 1981.
Rosen KM: Junctional tachycardia: Mechanisms, diagnosis, differential diagnosis and management. Circulation 47:654, 1973.
James TN: Myocardial infarction and atrial arrhythmias. Circulation 24: 761–776, 1961.
DeSanctis RW, Block P, Hutter AM: Tachyar-rhythmias in myocardial infarction. Circulation 45: 681–702, 1972.
Cristal N, Szwarcberg J, Gueron M: Supra-ventricular arrhythmias in acute myocardial infarction: Prognostic implication of clinical setting; mechanism of production. Ann Intern Med 82: 35–39, 1975.
Lie KL, Durrer D: Common arrhythmias in acute myocardial infarction. In: Cardiac arrhythmias: Mechanisms and management, Castellanos A (ed), Philadelphia, FA Davis Co, 1980, pp 191–201.
Lown B, Klein M, Hershberg P: Coronary and precoronary care. Am J Med 46:705, 1969.
Adgey AAJ, Geddes JS, Mulholland H, et al: Incidence, significance and management of early bradyarrhythmias complicating acute myocardial infarction. Lancet 2:1097, 1968.
Rotman M, Wagner GS, Wallace AG: Bradyarrhythmias in acute myocardial infarction. Circulation 45:703, 1972.
Webb S, Adgey AAJ, Pantridge JF: Autonomic dysfunction at onset of acute myocardial infarction. Br Med J 3:89, 1972.
Norris RM, Mercer CJ, Yeater SE: Sinus rate in acute myocardial infarction. Br Heart J 34:901, 1972.
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© 1986 Martinus Nijhoff Publishing, Boston.
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Antman, E.M., Rutherford, J.D. (1986). Cardiac Arrhythmias During Acute Myocardial Infarction. In: Coronary Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2303-7_4
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DOI: https://doi.org/10.1007/978-1-4613-2303-7_4
Publisher Name: Springer, Boston, MA
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