Preview

EMERGENCY MEDICAL CARE

Advanced search

VENTRICULAR TACHYARRHYTHMIAS IN SENILITY PATIENTS WITH ACUTE CORONARY SYNDROME

https://doi.org/10.24884/2072-6716-2016-17-3-20-25

Abstract

The present review assesses the frequency and type of ventricular tachyarrhythmias in senility (n = 388) patients with acute coronary syndrome, predictors of them development and effect on course of disease. Clinical and instrumental data have confirmed that ventricular tachyarrhythmias - life threatening arrhythmias most frequently develop at first 12 hours after coronary revascularization, accompanied by high level of hospital mortality, especially in patients with electrical storm. Ventricular tachyarrhythmias are associated with myocardial morpho-functional condition, electrolyte imbalance, coronary arteries lesion and duration of ischemic heart disease at pre-hospital stage. Prognosis of these arrhythmias depend on subepicardial myocardial ischemia availability and early coronary revascularization (infarct-depended artery).

About the Authors

S. V. Shenderov
City hospital № 26; Saint-Petersburg Institute of Bioregulation and Gerontology
Russian Federation


E. A. Kurnikova
City hospital № 26; Saint-Petersburg State Pediatric Medical University
Russian Federation


An. M. Osadhiy
City hospital № 40
Russian Federation


K. L. Kozlov
Saint-Petersburg Institute of Bioregulation and Gerontology
Russian Federation


V. I. Dorofeev
City hospital № 26; North-Western State Medical University named after I.I. Mechnikov
Russian Federation


V. S. Zhuk
Saint-Petersburg Institute of Bioregulation and Gerontology
Russian Federation


M. V. Agarkov
Saint-Petersburg Institute of Bioregulation and Gerontology; City hospital № 40
Russian Federation


S. V. Vlasenko
City hospital № 40
Russian Federation


References

1. Здравоохранение в России. - 2014 г. URL.: http://www.gks.ru/bgd/regl/b14_34/Main.htm

2. Российский статистический ежегодник.- 2014 г. URL.: http://www.gks/bgd/regl/b14_13/Main.htm

3. Федеральная служба государственной статистики. URL.: http://www.gks.ru

4. Бокерия Л.А., Ревишвили А.Ш. Внезапная сердечная смерть.- М.: ГЭОТАР-Медиа, 2011.- 272 с.

5. Eifling M., Razavi M., Massumi A. The Evaluation and Management of Electrical Storm // Texas Heart Institute J. - 2011. - Vol. 38, № 2. - P. 111-121.

6. Gorenek B., Blomstrom C., Brugada J. et al. Cardiac arrhythmias in acute coronary syndromes: position paper from the joint EHRA, ACCA, and EAPCI task force // Europace. - 2014. - № 16. - Р. 1655-1673.

7. Guerra F., Shkoza M., Scappini L. et al. Role of electrical storm as a mortality and morbidity risk factor and its clinical predictors: a meta-analysis // Europace. - 2014. - Vol. 16 (3). - Р. 347-353.

8. Steg P.G., James S.K., Atar D., Badano L.P. et al. ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation // Eur. Heart. J. - 2012. - Vol. 33, № 2569. - Р. 619.

9. Bezzina C.R., Pazoki R., Bardai A., Marsman R.F. et al. Genomewide association study identifies a susceptibility locus at 21q21 for ventricular fibrillation in acute myocardial infarction // Nat. Genet. - 2010. - Vol. 42, № 688. - Р. 91.

10. Said M., Becerra R., Valverde C.A. et al. CAMKII: a main signal responsible for early reperfusion arrhythmias // JMCC. - 2011. - Vol. 51, № 936. - Р. 44.

11. Israel C., Barold S. Electrical storm in patients with an implanted defibrillator: a matter of definition // Ann. Noninvasive Electrocardiol. - 2007. - Vol. 12, № 375. - Р. 82.

12. Kirchhof P., Breithardt G., Eckardt L. Primary prevention of sudden cardiac death // Heart. - 2006. - Vol. 92, № 1873. - Р. 8.

13. Dan S., Thomas M.M., Win-Kuang S. Optimal antiarrhythmic drug therapy for electrical storm // The Journal of Biomedical Research. - 2015. - Vol. 29 (1). - Р. 20-34.

14. ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death // Europ. Heart J. - 2015. - Vol. 36. - Р. 2793-2867.


Review

For citations:


Shenderov S.V., Kurnikova E.A., Osadhiy A.M., Kozlov K.L., Dorofeev V.I., Zhuk V.S., Agarkov M.V., Vlasenko S.V. VENTRICULAR TACHYARRHYTHMIAS IN SENILITY PATIENTS WITH ACUTE CORONARY SYNDROME. EMERGENCY MEDICAL CARE. 2016;17(3):20-25. (In Russ.) https://doi.org/10.24884/2072-6716-2016-17-3-20-25

Views: 372


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-6716 (Print)