Ventricular arrhythmias during reperfusion.


Journal Article

Accelerated idioventricular rhythm has been used as a marker for coronary reperfusion. The incidence of accelerated idioventricular rhythm and ventricular tachycardia was evaluated in 52 consecutive patients undergoing thrombolysis with intracoronary streptokinase during acute myocardial infarction. Complete 12-hour Holter recordings during and after intracoronary streptokinase were obtained in 39 patients. Reperfusion was documented in 17 patients (44%), no reperfusion in 14 (36%), and subtotal occlusion in eight (20%). Accelerated idioventricular rhythm occurred in 83%, 57%, and 63% of patients by group, respectively (p greater than 0.05). Ventricular tachycardia occurred in 100%, 71%, and 100% of patients by group, respectively (p less than 0.05). These data demonstrate that accelerated idioventricular rhythm is not specific for reperfusion and cannot be used as a marker for this event, and that ventricular tachycardia is more common with reperfusion and subtotal occlusion.

Full Text

Duke Authors

Cited Authors

  • Miller, FC; Krucoff, MW; Satler, LF; Green, CE; Fletcher, RD; Del Negro, AA; Pearle, DL; Kent, KM; Rackley, CE

Published Date

  • November 1986

Published In

Volume / Issue

  • 112 / 5

Start / End Page

  • 928 - 932

PubMed ID

  • 3776819

Pubmed Central ID

  • 3776819

International Standard Serial Number (ISSN)

  • 0002-8703

Digital Object Identifier (DOI)

  • 10.1016/0002-8703(86)90302-9


  • eng

Conference Location

  • United States