Incidence and management of supraventricular arrhythmias after acute myocardial infarction

Jewitt, D. E.; Balcon, Raphael; Raftery, Edward B.; Oram, Samuel

doi:10.1016/0002-8703(69)90366-4

Cited by 15 publications

(10 citation statements)

References 14 publications

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“…Atrial fibrillation was associated with high ventricular rate and left ventricular failure. 10 Incidence of Ventricular tachycardia (11%) in present study is well comparable with Desanctis et al (10%), Broan (11.1%) and Annamalai and Kasirajan (9.5%), The incidence of ventricular tachycardia was more common in anterior wall infarction (9 cases) than in inferior wall infarction (2 cases) as it might be related also to amount of myocardium damaged. The urgent need of revascularization in form of Primary Angioplasty and CABG for treating ventricular tachycardia is not available in our set up which might have caused higher mortality in patients with ventricular tachycardia 8 .…”

Section: Discussionsupporting

confidence: 90%

A Study of 100 Cases of Arrhythmias in First Week of Acute Myocardial Infarction

Lalani¹

2017

JMSCR

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Section: Discussionsupporting

confidence: 90%

A Study of 100 Cases of Arrhythmias in First Week of Acute Myocardial Infarction

Lalani¹

2017

JMSCR

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“…We found significant differences in the onset and duration of AF in relation to the location of MI but Mohanad AL-Jashami 17 demonstrated that there was no relation of AF to the site of infarction. Others 1,4,13,18 have also demonstrated an equal distribution between anterior and posterior infarcts associated with AF, Robert and Kelly 25 mentioned that atrial arrhythmias were more common with inferior infarction particularly with right ventricular involvement. Others 9,26 stated that AF occurs more frequently following anterior than inferior infarcts.…”

Section: Discussionmentioning

confidence: 96%

“…The presence of AF is associated with a high risk of heart failure and mortality in MI patients, regardless of its timing. Some investigators found no increase in mortality related to the presence of AF, [10][11][12][13] while other studies showed a greater overall early mortality rate in patients with anterior myocardial infarction with AF. [14][15] In AMI atrial fibrillation is usually transient and may not require treatment.…”

Section: Introductionmentioning

confidence: 97%

Atrial Fibrillation in Acute Myocardial Infarction

Bhattarai¹,

Sayganov²

2015

Nepalese Heart J.

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“…10 Jewitt et al observed 222 patients of AMI, out of which 124 cases (55.8%) had anterior wall AMI and 75 cases (33.8%) had inferior wall AMI. 11 In 10 patients, the infarction site was combined. Patients with extensive anterior AMI had a more severe clinical presentation (Killip III / IV) as compared to those with anterolateral, anteroseptal or inferior wall AMI.…”

Section: Site Of Amimentioning

confidence: 99%

Echocardiographic assessment of left ventricular function in patients of acute myocardial infarction

Shivpuje¹,

Page²

2017

Int J Adv Med

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INTRODUCTIONAcute myocardial infarction is one of the leading causes of death in developing countries like India. The mortality rate with AMI is approximately 30%. Although mortality rate after hospital admission for AMI has declined by about 30% over the last two decades, approximately 1 of every 25 patients who survive the initial hospitalization die in first year after AMI.1 Survival after AMI is markedly reduced in elderly patients (age over 75 years) cardiogenic shock, LV failure and Arrythmias are the leading cause of death early post AMI period. While LV dysfunction and thromboembolism contribute to late mortality and morbidity.After AMI, LV undergoes a series of changes in shape, size and thickness in both the infarcted and non-infarcted segments. This process is called ventricular remodeling.This leads to progressive dilatation of ventricles with ventricular dysfunction. This dysfunction gives rise to late complications after AMI. ABSTRACTBackground: 2D Echo can evaluate LV anatomy, function and diagnose post AMI complications in early stages, thus help in management and determining the prognosis. The present study was undertaken to evaluate LV function in patient following AMI and also to find out the incidence of various echocardiographically detectable complications of following AMI. Methods: The present study was conducted on patients visiting our tertiary health centre during study duration. 50 patients were included in the study. Patients with prior history of acute myocardial infarction, pericarditis and early repolarisation syndrome, and primary myocardial disease diagnosed by serum enzyme levels were not included in the study. Patients were classified as per Killip classification and 2D echo study was performed in all patients. Results: Maximum incidence of AMI was found in 51-60 years of age, with male predominance (64%). Anterior wall AMI (58%) was more common. 94% of patients had wall motion abnormalities. Incidence of LV thrombus was found to be 24%. In present study, as the extent and severity of wall motion abnormalities increased, the incidence of LV thrombus also increased. Thus, 2DE study of LV regional wall motion can predict the incidence of LV thrombus. Conclusions: The echocardiographic assessment of LV function in patients of AMI is important as, it detects the regional wall motion abnormality, LVEF and also the complications like LV thrombus, pericardial effusion and LV aneurysm. These observations are of great value in the management of AMI.

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Incidence and management of supraventricular arrhythmias after acute myocardial infarction

Cited by 15 publications

References 14 publications

A Study of 100 Cases of Arrhythmias in First Week of Acute Myocardial Infarction

A Study of 100 Cases of Arrhythmias in First Week of Acute Myocardial Infarction

Atrial Fibrillation in Acute Myocardial Infarction

Echocardiographic assessment of left ventricular function in patients of acute myocardial infarction

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