Sudden cardiac death prevention in acute myocardial infarction
Authors:
J. Bytešník
Authors‘ workplace:
Odd. arytmologie na Klinice kardiologie IKEM
Published in:
Kardiol Rev Int Med 2010, 12(Supplementum): 13-16
Overview
The onset of early reperfusion therapy has been linked to decreased incidence of MI-associated sudden cardiac death. The risk of sudden death remains high under certain clinical conditions, particularly in the presence of heart failure. At the early phase of the coronary event, ECG monitoring and immediate external defibrillation of the ventricular fibrillation, the main cause of sudden cardiac death, are crucial. Reliable risk stratification for the periods shortly after the acute myocardial infarction, to support the indication for implantable cardioverter- defibrillator, has so far been missing. In addition to the detection and management of serious arrhythmias, an effective treatment of heart failure and myocardial tissue protection against sympathetic- adrenergic reaction – with beta-blockers – from the earliest stages of AMI also play an important role.
Keywords:
sudden cardiac death – atrial fibrillation – defibrillation – acute coronary syndrome
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Paediatric cardiology Internal medicine Cardiac surgery CardiologyArticle was published in
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