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Netherlands Heart Journal
Gepubliceerd in: Netherlands Heart Journal 3/2010

01-03-2010 | Original article

Predictors of ventricular tachyarrhythmia in high-risk myocardial infarction patients treated with primary coronary intervention

Auteurs: J. R. Timmer, N. Breet, T. Svilaas, J. Haaksma, I. C. Van Gelder, F. Zijlstra

Gepubliceerd in: Netherlands Heart Journal | Uitgave 3/2010

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Abstract

Background. We investigated the association between clinical characteristics, angiographic data and ventricular arrhythmia in patients with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PCI)
Methods. In patients with STEMI (n=225), a Holter analysis was performed the first 12 hours after primary PCI.
Results. A total of 151 (66%) patients had ≥1 episode of ventricular tachycardia (VT). Age <70 years (RR 4.9, 95% CI 1.8 to 12.7), TIMI 0-1 pre-PCI (RR 2.6, 95% CI 1.1 to 6.1) and peak CK (RR 3.5, 95% CI 1.9 to 5.8) were independent predictors of VT. One-year mortality was 7%, no association between mortality and presence of early VT was found.
Conclusion. Ventricular tachycardia is common in the first 12 hours after primary PCI for STEMI. Independent predictors of VT are younger age, TIMI 0-1 flow prior to PCI and larger infarct size. The presence of early VT was not significantly associated with one-year mortality. (Neth Heart J 2010;18:122-8.)
vorige artikel Effects of altitude on exercise level and heart rate in patients with coronary artery disease and healthy controls
volgende artikel Procedural and long-term outcome of primary percutaneous coronary intervention in octogenarians
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Metagegevens
Titel
Predictors of ventricular tachyarrhythmia in high-risk myocardial infarction patients treated with primary coronary intervention
Auteurs
J. R. Timmer
N. Breet
T. Svilaas
J. Haaksma
I. C. Van Gelder
F. Zijlstra
Publicatiedatum
01-03-2010
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 3/2010
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/BF03091750

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