Clinical Impact of Ventricular Tachycardia and/or Fibrillation During the Acute Phase of Acute Myocardial Infarction on In-Hospital and 5-Year Mortality Rates in the Percutaneous Coronary Intervention Era

Masuda, Masaharu; Nakatani, Daisaku; Hikoso, Shungo; Suna, Shinichiro; Usami, Masaya; Matsumoto, S; Kitamura, Tetsuhisa; Minamiguchi, Hitoshi; Okuyama, Yuji; Uematsu, Masaaki; Yamada, Takahisa; Iwakura, Katsuomi; Hamasaki, Toshimitsu; Sakata, Yasuhiko; Sato, Hiroshi; Nanto, Shinsuke; Hori, Masatsugu; Komuro, Issei; Sakata, Yasushi

doi:10.1253/circj.cj-16-0183

Cited by 41 publications

(35 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The long-term atrial fibrillation may result in mural thrombus shedding after MI, thus causing thromboembolic disease ( 17 ). Meanwhile, atrial fibrillation complicated before operation may further reduce the cardiac function of patients, increase ventricular rate and myocardial oxygen consumption ( 18 ), and lead to hemodynamic disorders, thereby increasing myocardial infarct size ( 19 ), even inducing heart failure and aggravating myocardial damage ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction

Zhang

Zheng

et al. 2018

Exp Ther Med

View full text Add to dashboard Cite

The effects of atrial fibrillation on complications and prognosis of patients receiving emergency percutaneous coronary intervention after acute myocardial infarction (AMI) were investigated. Eighty AMI patients treated with interventional vascular recanalization in the Affiliated Hospital of Weifang Medical University (Weifang, China) from July 2015 to October 2016 were selected, including 40 patients complicated with atrial fibrillation before operation (control group) and 40 patients without atrial fibrillation before operation (observation group). The systolic blood pressure, diastolic blood pressure, heart rate, arrhythmia and common complications after MI were compared. Changes in the coronary artery thrombolysis in myocardial infarction (TIMI) flow grade and left ventricular ejection fraction (LVEF) of patients were also recorded. Moreover, changes in brain natriuretic peptide (BNP) levels were compared. The recovery time of myocardial enzyme and total troponin in both groups was recorded. The systolic and diastolic blood pressure in the observation group were significantly higher than those in the control group (p<0.05). During the intervention, the total proportion of patients with ventricular arrhythmia, atrial arrhythmia, atrioventricular block and sinus tachycardia in the observation group was significantly lower than that in the control group (p<0.05). The total proportion of common complications after MI in the observation group was obviously lower than that in the control group (p<0.05). Coronary artery TIMI flow grades and LVEFs in the observation group were obviously higher than those in the control group. BNP levels in the observation group were significantly lower than those in the control group. The recovery time of myocardial enzyme and total troponin in the observation group was significantly earlier than that in the control group. Atrial fibrillation has a certain negative effect on the circulatory function in patients with AMI after the interventional therapy, and the proportions of arrhythmia and complications in patients after MI are increased at the same time, so the postoperative recovery of patients is slow with many complications.

show abstract

Section: Discussionmentioning

confidence: 99%

Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction

Zhang

Zheng

et al. 2018

Exp Ther Med

View full text Add to dashboard Cite

show abstract

“…Although the predictors for VF were quite complicated and uncertain, VF is related with higher in-hospital mortality in patients with ST-segment elevation myocardial infarction (STEMI). [ 14 , 15 ] It was reported that patients with acute occlusion of LAD had a higher incidence of VF than those with RCA occlusion, [ 16 , 17 ] which may partly be explained by the fact that the infarct related artery in STEMI was more prevalent in LAD compared to RCA. [ 18 ] The nondominant RCA and no coronary collateral circulation increased the incidence of VF in patients with the occlusion of RCA.…”

Section: Discussionmentioning

confidence: 99%

Proximal complete occlusion of right coronary artery presenting with precordial ST-segment elevation

Zheng

Lin²,

Shen³

et al. 2016

Medicine

View full text Add to dashboard Cite

Background:It is well known that cardiologists empirically judge the culprit lesion of acute ST-segment elevation myocardial infarction (STEMI) according to the corresponding electrocardiographic leads. However, In addition to the obstruction of left anterior descending (LAD) coronary artery, rare cases with the occlusion of proximal right coronary artery (RCA) and/or isolated right ventricular (RV) branch showed the ST-segment elevation in precordial leads V1–V3 as well.Case summary:We reported a patient complaining of acute chest pain and suffering ventricular fibrillation (VF) on admission. The electrocardiogram (ECG) showed mild ST-segment elevation in precordial leads V1–V3 and V4R. Bedside echocardiography displayed normal left ventricular ejection fraction and slight RV dilation. Proximal occlusion of nondominant RCA was confirmed by coronary angiography and urgent percutaneous coronary intervention (PCI) to RCA successfully resolved the chest pain and ST-segment elevation.Conclusion:Undoubtedly, coronary angiography is usually the definite measurement for the diagnosis of culprit lesion. However, bedside echocardiography, ST-segment features in left and right precordial leads, and heart rate will be the additional information for judging ST-segment elevation in precordial leads V1–V3 resulting from occlusion of RCA or LAD.

show abstract

“…Lethal arrhythmia in the acute phase was defined as sustained VT or VF requiring defibrillation or cardiopulmonary resuscitation ≤1 week after the onset of AMI during hospitalization, consistent with a previous study. 6 To elucidate the predictors of inhospital VT/VF, the patient characteristics, comorbidities, clinical manifestations, and coronary angiography were compared between the 2 groups. Most laboratory data were measured at admission.…”

mentioning

confidence: 99%

Risk Factors of In-Hospital Lethal Arrhythmia Following Acute Myocardial Infarction in Patients Undergoing Primary Percutaneous Coronary Intervention　― Insight From the J-MINUET Study ―

et al. 2020

View full text Add to dashboard Cite

Predictive factors for lethal arrhythmia after primary PCI for AMI, however, remain undetermined. In this study, we elucidated the predictors of in-hospital VT/VF events following during hospitalization for primary PCI using the Japanese registry of acute Myocardial INfarction diagnosed by Universal dEfiniTion (J-MINUET), A cute myocardial infarction (AMI) is still a lifethreating disease. 1,2 Although primary percutaneous coronary intervention (PCI) is now carried out as first-line therapy, arrhythmias including ventricular tachycardia and fibrillation (VT/VF) after AMI are still lethal major complications even after successful primary PCI. 3

show abstract

Clinical Impact of Ventricular Tachycardia and/or Fibrillation During the Acute Phase of Acute Myocardial Infarction on In-Hospital and 5-Year Mortality Rates in the Percutaneous Coronary Intervention Era

Cited by 41 publications

References 28 publications

Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction

Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction

Proximal complete occlusion of right coronary artery presenting with precordial ST-segment elevation

Risk Factors of In-Hospital Lethal Arrhythmia Following Acute Myocardial Infarction in Patients Undergoing Primary Percutaneous Coronary Intervention　― Insight From the J-MINUET Study ―

Contact Info

Product

Resources

About

Clinical Impact of Ventricular Tachycardia and/or Fibrillation During the Acute Phase of Acute Myocardial Infarction on In-Hospital and 5-Year Mortality Rates in the Percutaneous Coronary Intervention Era

Cited by 41 publications

References 28 publications

Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction

Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction

Proximal complete occlusion of right coronary artery presenting with precordial ST-segment elevation

Risk Factors of In-Hospital Lethal Arrhythmia Following Acute Myocardial Infarction in Patients Undergoing Primary Percutaneous Coronary Intervention ― Insight From the J-MINUET Study ―

Contact Info

Product

Resources

About

Risk Factors of In-Hospital Lethal Arrhythmia Following Acute Myocardial Infarction in Patients Undergoing Primary Percutaneous Coronary Intervention　― Insight From the J-MINUET Study ―