UMEM Educational Pearls

Category: Cardiology

Title: Ventricular Arrhythmias Associated with Myocardial Infarction

Keywords: Ventricular Arrhythmias, Myocardial Infarction (PubMed Search)

Posted: 7/13/2014 by Semhar Tewelde, MD (Updated: 4/23/2024)
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Ventricular Arrhythmias Associated with Myocardial Infarction

Therapeutic advances and management of acute myocardial infarction (AMI) has lead to a decreasing incidence of ventricular arrhythmias (VA)

VA remains a life-threatening occurrence after AMI, and all patients should be monitored closely during this vulnerable period

VA occurs more frequently inpatients with STEMI versus non-STEMI

Of those who develop VA’s, features associated with poor outcomes include:

·      Late occurrence

·      Sustained monomorphic VT

·      Concurrent heart failure

·      Cardiogenic shock

·      Failure or lack of revascularization

 

References

Liang J, Prasad A, et al. Temporal Evolution and Implications of Ventricular Arrhythmias Associated With Acute Myocardial Infarction. Cardiology in Review: 21 (6) Nov/Dec 2013.