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Management of Cardiac Arrhythmias in Post-PCI Patients

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Emerging Pathologies in Cardiology

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Conclusions

Either ventricular or atrial arrhythmias or conduction disturbances can be observed during PCI. Some of them occur as a complication of the procedure, but many of the arrhythmias are related to reperfusion injury. The patient’s characteristics, the type of the procedure, the features of the target vessel and the type of the lesion play an important role in the occurrence of arrhythmias. The majority of the arrhythmias tend to revert spontaneously, but when necessary, special treatment must be given promptly.

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References

  1. Mehta RH, Harjai KJ, Grines L et al (2004) Sustained ventricular tachycardia or fibrillation in the cardiac catheterisation laboratory among patients receiving primary percutaneous coronary intervention: incidence, predictors, and outcomes. J Am Coll Cardiol 43:1765–1772

    Article  PubMed  Google Scholar 

  2. Hajj-Ali R, Ezzeddine R, Jadonath R et al (2001) Use of low-osmolar ionic contrast agents increases the risk of sustained ventricular arrhythmias during diagnostic coronary angiography. Am J Cardiol 88(5A): TCT298 Suppl.

    Google Scholar 

  3. Kearns JB, Murnaghan MF (1969) Ventricular fibrillation during hypothermia. J Physiol Lond, 203(1):51P–53P

    PubMed  CAS  Google Scholar 

  4. Huang JL, Ting CT, Chen YT, Chen SA (2002) Mechanisms of ventricular fibrillation during coronary angioplasty: increased incidence for the small orifice caliber of the right coronary artery. Int J Cardiol 82:221–228

    Article  PubMed  Google Scholar 

  5. Ellis SG (1994) Elective coronary angioplasty: technique and complications. In: Topol EJ (ed) Textbook of interventional cardiology. Saunders, Philadelphia, pp 186–206

    Google Scholar 

  6. DeGeare WS, Boura JA, Grines LL et al (2001) Predictive value of the Killip classification in patients undergoing primary percutaneous coronary intervention for acute myocardial infarction. Am J Cardiol 87:1035–1038

    Article  PubMed  CAS  Google Scholar 

  7. Ashikaga T, Nishizaki M, Arita M et al (1998) Increased QTc dispersion predicts lethal venticular arrhythmias complicating coronary angioplasty. Am J Cardiol 82:814–816

    Article  PubMed  CAS  Google Scholar 

  8. Kato T, Kamiyama T, Maruyama M et al (2001) Nicorandil, a potent cardioprotective agent, reduces QT dispersion during coronary angioplasty. Am Heart J 141:940–943

    Article  PubMed  CAS  Google Scholar 

  9. Airaksinen KE, Ylitalo A, Nimela MJ et al (1999) Heart rate variability and occurrence of ventricular arrhythmias during balloon occlusion of a major coronary artery. Am J Cardiol 83:1000–1005

    Article  PubMed  CAS  Google Scholar 

  10. Matsuma K, Jeremy RW, Schaper J et al (1998) Progression of myocardial necrosis during reperfusion of ischemic myocardium. Circulation 97:795–804

    Google Scholar 

  11. Opie LH, Coetzee WA ( 1988) Role of calcium ions in reperfusion arrhythmias: Relevance to pharmacologic intervention. Cardiovasc Drugs Ther 2:623–636

    Article  PubMed  CAS  Google Scholar 

  12. Hearse DJ, Tosak A (1988) Free radicals and calcium. Simultaneous interacting triggers as determinants of vulnerability to reperfusion-induced arrhythmias in the rat heart. J Mol Cell Cardiol 20:213–223

    Article  PubMed  CAS  Google Scholar 

  13. Ambrosio G, Weisfeldt ML, Jacobus WE et al (1987) Evidence for a reversible oxygen mediated component of reperfusion injury: reduction by recombinant human superoxide dismutase administered at the time of reflow. Circulation 75:282–291

    PubMed  CAS  Google Scholar 

  14. Lafont A, Marwick TH, Chisolm GM et al (1996) Decreased free radical scavengers with reperfusion after coronary angioplasty in patients with acute myocardial infarction. Am Heart J 1996 131:219–23

    Article  PubMed  CAS  Google Scholar 

  15. Ishihara M, Sato H, Tateishi H et al (1996) Attenuation of the no-reflow phenomenon after coronary angioplasty for acute myocardial infarction with intracoronary papaverine. Am Heart J 132:959–963

    Article  PubMed  CAS  Google Scholar 

  16. Tillmanns H, Neumann FJ, Parekh et al (1990) Pharmacologic effects on coronary microvessels during myocardial ischemia. Eur Heart J 11:B10–B15

    Google Scholar 

  17. Yoshida Y, Hirai M, Yamada T et al (2000) Arrhythmic efficacy of dipyridamole in treatment of reperfusion arrhythmias. Circulation 101:624–630

    PubMed  CAS  Google Scholar 

  18. Saito K, Gutkind JS, Saaverda JM (1987) Angiotensin II binding sites in the conduction system of rat hearts. Am J Physiol 253:1618–1622

    Google Scholar 

  19. Xiang JZ, Scholkens BA, Ganten D, Unger T (1984) Effects of sympathetic nerve stimulation is attenuated by the converting enzyme inhibitor Hoe 498 in isolated rabbit hearts. Clin Exp Hypertens 6:1853–1857

    CAS  Google Scholar 

  20. Xiang JZ, Linz W, Becker H et al (1985) Effects of converting enzyme inhibitors: ramipril and enalapril on peptide action and sympathetic neurotransmission in the isolated heart. Eur J Pharmacol 113:215–223

    Article  PubMed  CAS  Google Scholar 

  21. Rogers TB, Gaa ST, Allen IS (1986) Identification and characterization of functional angiotensin II receptors on cultured heart myocytes. J Pharmacol Exp Ther 236:438–444

    PubMed  CAS  Google Scholar 

  22. Dostal DE, Baker KM (1993) Evidence for a role of an intracardiac renin-angiotensin system in normal and failing hearts. Trends Cardiovasc Med 3:67–74

    Article  CAS  Google Scholar 

  23. Harada K, Komuro I, Hayashi D et al (1998) Angiotensin II type 1a receptor is involved in the occurrence of reperfusion arrhythmias. Circulation 97:315–317

    PubMed  CAS  Google Scholar 

  24. Lee YM, Peng YY, Ding YA et al (1997) Losartan attenuates myocardial ischemiainduced ventricular arrhythmias and reperfusion injury in spontaneously hypertensive rats. Am J Hypertens 10:852–858

    Article  PubMed  CAS  Google Scholar 

  25. Kurz T, Schafer U, Dendorfer A et al (2001) Effects of intracoronary low dose enalaprilat as an adjunct to primary percutaneous transluminal coronary angiography in acute myocardial infarction. Am J Cardiol 88:1351–1357

    Article  PubMed  CAS  Google Scholar 

  26. Coronel R, Wilms-Schopman FJ, Janse MJ (1997) Profibrillatory effects of intracoronary thrombus in acute regional ischemia of the in situ porcine heart. Circulation 96:3985–3991

    PubMed  CAS  Google Scholar 

  27. Gulker H, Kramer B, Stephan K et al (1977) Changes in ventricular fibrillation threshold during regional short-term coronary occlusion and release. Basic Res Cardiol 72:547–562

    Article  PubMed  CAS  Google Scholar 

  28. Lawson CS, Hearse DJ (1996) Anti-arrhythmic protection by ischemic preconditioning in anesthetised dogs and rats. Cardiovasc Res 31:655–662

    Article  PubMed  CAS  Google Scholar 

  29. Airaksinen KEJ, Huikuri HV (1997) Antiarrhythmic effect of repeated coronary occlusion during balloon angioplasty. J Am Coll Cardiol 29:1035–1038

    Article  PubMed  CAS  Google Scholar 

  30. Brodie BR, Stuckey TD, Hansen C et al (1999) Intra-aortic balloon counterpulsation before primary percutaneous transluminal coronary angioplasty reduces catheterization laboratory events in high-risk patients with acute myocardial infarction. Am J Cardiol 84:18–23

    Article  PubMed  CAS  Google Scholar 

  31. Gorenek B, Birdane A, Unalir A et al (2000) Restoring sinus rhythm in patients with atrial fibrillation complicating acute myocardial infarction: comparison of outcomes of primary angioplasty and thrombolytic therapy (abstract). Eur J Heart Fail, Suppl 1:32

    Google Scholar 

  32. Kinjo K, Sato H, Sato H et al (2003) Prognostic significance of atrial fibrillation/atrial flutter in patients with acute myocardial infarction treated with percutaneous coronary intervention. Am J Cardiol 92:1150–1154

    Article  PubMed  Google Scholar 

  33. Bredlau CE, Roubin GS, Leimgruber PP et al 81985) In-hospital mortality in patients undergoing elective coronary angioplasty. Circulation 72:1044–1052

    Google Scholar 

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Authors and Affiliations

  1. Cardiology Department, Osmangazi University, Eskisehir, Turkey

    B. Gorenek

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  1. B. Gorenek
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Editor information

Editors and Affiliations

  1. Cardiology Division, S. Luigi — S.Currò Hospital, Catania, Italy

    M. M. Gulizia MD (Chief) (Chief)

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© 2005 Springer-Verlag Italia

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Gorenek, B. (2005). Management of Cardiac Arrhythmias in Post-PCI Patients. In: Gulizia, M.M. (eds) Emerging Pathologies in Cardiology. Springer, Milano . https://doi.org/10.1007/88-470-0341-5_27

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  • DOI: https://doi.org/10.1007/88-470-0341-5_27

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0311-8

  • Online ISBN: 978-88-470-0341-5

  • eBook Packages: MedicineMedicine (R0)

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