	Arrhythmia due to reperfusion after thrombolytic therapy in patients with acute myocardial infarction

Talat TAVLI; Alaettin AVŞAR; Bayram KORKUT; Abdullah DOĞAN; Sedat DEMİR; Refik Ali SARI; Hasan GÖK

Makale detayları

 Arrhythmia due to reperfusion after thrombolytic therapy in patients with acute myocardial infarction

Yazarlar:

Talat TAVLI | Alaettin AVŞAR | Bayram KORKUT | Abdullah DOĞAN | Sedat DEMİR | Refik Ali SARI | Hasan GÖK

Yayıncı:

Van Yuzuncu Yıl University

Dergi:

EASTERN JOURNAL OF MEDICINE 2004 Vol.9 Issue 1, pp.17-21

Belge Tipi:

Makale

Yayın Tarihi:

2/2013

Belge Dili:

İngilizce

Document ID (Org No.):

2000773394

Sıklık:

Aylık

eISSN:

1301-0883

pISSN:

1301-0883

Özet:

 

Objective: The aim of this study was to determine therelation between the incidence and frequency ofventricular arrhytmias and the time course of ST-segment changes in patients with successfulthrombolysis.Method: This study included 46 patients (31 males53±12 years) with acute myocardial infarction (MI) whowere treated with streptokinase (SK Group) and 41 MIpatients (27 males 55±12 years) who did not receiveany thrombolytic agent (Control Group).Electrocardiograms were obtained 90 minutes 6, 12,18, 24, 48 and 72 hours after thrombolytic therapy andreduction in ST elevation at 90 minutes was calculated.All patients had wall motion abnormalities.Results: Overall arrhythmias were observed in 67% (n:31) of  patients in SK group compared to 63% (n:26) incontrol group (p=0.05). In subgroup analysis of SKgroup ventricular tachycardia (VT) was more frequent(37%) in patients with more than 50% reduction in STelevation at 90 minutes compared with in othersubgroups of patients (p<0.01). Postinfarction anginaand systolic dysfunction were more frequent in thecontrol group compared to the SK group (p<0.05).Conclusion: Our results suggest that reperfusion withfibrinolytics or the faster reflow may induce ventriculararrhythmias. However, it can also prevent  theimpairment in systolic function of the left ventricle.Key words: Myocardial infarction, thrombolysis,reperfusion,  arrhythmia.

Makale detayları

 Arrhythmia due to reperfusion after thrombolytic therapy in patients with acute myocardial infarction

Yazarlar: Talat TAVLI | Alaettin AVŞAR | Bayram KORKUT | Abdullah DOĞAN | Sedat DEMİR | Refik Ali SARI | Hasan GÖK

Yayıncı: Van Yuzuncu Yıl University

Dergi: EASTERN JOURNAL OF MEDICINE 2004 Vol.9 Issue 1, pp.17-21

Belge Tipi: Makale

Yayın Tarihi: 2/2013

Belge Dili: İngilizce

Document ID (Org No.): 2000773394

Sıklık: Aylık

eISSN: 1301-0883

pISSN: 1301-0883

Sayı

Yazarlar:

Talat TAVLI | Alaettin AVŞAR | Bayram KORKUT | Abdullah DOĞAN | Sedat DEMİR | Refik Ali SARI | Hasan GÖK

Yayıncı:

Van Yuzuncu Yıl University

Dergi:

EASTERN JOURNAL OF MEDICINE 2004 Vol.9 Issue 1, pp.17-21

Belge Tipi:

Makale

Yayın Tarihi:

2/2013

Belge Dili:

İngilizce

Document ID (Org No.):

2000773394

Sıklık:

Aylık

eISSN:

1301-0883

pISSN:

1301-0883