American Journal of Cardiology
Volume 104, Issue 12 , Pages 1641-1646 , 15 December 2009

Prevalence and Significance of Accelerated Idioventricular Rhythm in Patients With ST-Elevation Myocardial Infarction Treated With Primary Percutaneous Coronary Intervention

  • Christian Juhl Terkelsen, MD, PhD

      Affiliations

    • Department of Cardiology B, Aarhus University Hospital, Aarhus, Denmark
    • Corresponding Author InformationCorresponding authors: Tel: (+45) 8949-5566; fax: (+45) 8949-6009
    • ,
  • Jacob Thorsted Sørensen, MD

      Affiliations

    • Department of Cardiology B, Aarhus University Hospital, Aarhus, Denmark
    • ,
  • Anne Kjer Kaltoft, MD, PhD

      Affiliations

    • Department of Cardiology B, Aarhus University Hospital, Aarhus, Denmark
    • ,
  • Søren Steen Nielsen, MD

      Affiliations

    • Department of Nuclear Medicine, Aarhus University Hospital, Aarhus, Denmark
    • ,
  • Leif Thuesen, MD, DmSc

      Affiliations

    • Department of Cardiology B, Aarhus University Hospital, Aarhus, Denmark
    • ,
  • Hans-Erik Bøtker, MD, DmSc

      Affiliations

    • Department of Cardiology B, Aarhus University Hospital, Aarhus, Denmark
    • ,
  • Jens Flensted Lassen, MD, PhD

      Affiliations

    • Department of Cardiology B, Aarhus University Hospital, Aarhus, Denmark

Received 14 June 2009 ,Revised 21 July 2009 ,Accepted 21 July 2009.

References 

  1. Kaltoft A, Bottcher M, Nielsen SS, Hansen HHT, Terkelsen C, Maeng M, et al. Routine thrombectomy in percutaneous coronary intervention for acute ST-segment-elevation myocardial infarction: a randomized, controlled trial. Circulation. 2006;114:40–47
  2. Kelbaek H, Terkelsen CJ, Helqvist S, Lassen JF, Clemmensen P, Klovgaard L, et al. Randomized comparison of distal protection versus conventional treatment in primary percutaneous coronary intervention: the drug elution and distal protection in ST-elevation myocardial infarction (DEDICATION) trial. J Am Coll Cardiol. 2008;51:899–905
  3. TIMI Study Group. The Thrombolysis In Myocardial Infarction (TIMI) trial (Phase I findings). N Engl J Med. 1985;312:932–936
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  7. Ilia R, Amit G, Cafri C, Gilutz H, Bu-Ful A, Weinstein JM, et al. Reperfusion arrhythmias during coronary angioplasty for acute myocardial infarction predict ST-segment resolution. Coron Artery Dis. 2003;14:439–441
  8. Bonnemeier H, Ortak J, Wiegand UK, Eberhardt F, Bode F, Schunkert H, et al. Accelerated idioventricular rhythm in the post-thrombolytic era: incidence, prognostic implications, and modulating mechanisms after direct percutaneous coronary intervention. Ann Noninvasive Electrocardiol. 2005;10:179–187
  9. Terkelsen CJ, Kaltoft AK, Norgaard BL, Bottcher M, Lassen JF, Clausen K, et al. ST changes before and during primary percutaneous coronary intervention predict final infarct size in patients with ST elevation myocardial infarction. J Electrocardiol. 2009;42:64–72
  10. Marriott HJ, Menendez MM. A-V dissociation revisited. Prog Cardiovasc Dis. 1966;8:522–538
  11. Norris RM, Mercer CJ. Significance of idioventricular rhythms in acute myocardial infarction. Prog Cardiovasc Dis. 1974;16:455–468
  12. Grimm W, Hoffmann J, Maisch B. Accelerated idioventricular rhythm. Z Kardiol. 1994;83:898–907
  13. Gorgels AP, Vos MA, Letsch IS, Verschuuren EA, Bar FW, Janssen JH, et al. Usefulness of the accelerated idioventricular rhythm as a marker for myocardial necrosis and reperfusion during thrombolytic therapy in acute myocardial infarction. Am J Cardiol. 1988;61:231–235
  14. Heper G, Korkmaz ME, Kilic A. Reperfusion arrhythmias: are they only a marker of epicardial reperfusion or continuing myocardial ischemia after acute myocardial infarction?. Angiology. 2007;58:663–670
  15. Cercek B, Lew AS, Laramee P, Shah PK, Peter TC, Ganz W. Time course and characteristics of ventricular arrhythmias after reperfusion in acute myocardial infarction. Am J Cardiol. 1987;60:214–218
  16. Hohnloser SH, Zabel M, Kasper W, Meinertz T, Just H. Assessment of coronary artery patency after thrombolytic therapy: accurate prediction utilizing the combined analysis of three noninvasive markers. J Am Coll Cardiol. 1991;18:44–49
  17. Chiladakis JA, Pashalis A, Patsouras N, Manolis AS. Autonomic patterns preceding and following accelerated idioventricular rhythm in acute myocardial infarction. Cardiology. 2001;96:24–31
  18. Kelbaek H, Thuesen L, Helqvist S, Clemmensen P, Klovgaard L, Kaltoft A, et al. Drug-eluting versus bare metal stents in patients with ST-segment elevation myocardial infarction: eight-month follow-up in the Drug Elution and Distal Protection in Acute Myocardial Infarction (DEDICATION) trial. Circulation. 2008;118:1155–1162

PII: S0002-9149(09)01468-4

doi: 10.1016/j.amjcard.2009.07.037

American Journal of Cardiology
Volume 104, Issue 12 , Pages 1641-1646 , 15 December 2009

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