Impact of reperfusion therapy and infarct localization on frequency of premature ventricular beats in acute myocardial infarction

• Main Authors: Davor Horvat, Josip Vincelj
• Format: Article
• Language: English
• Published: Medical Association of Zenica-Doboj Canton 2015-08-01
• Series: Medicinski Glasnik
• Subjects: fibrinolysis; percutaneous coronary intervention; ventricular arrhythmias
• Online Access: http://ljkzedo.ba/sites/default/files/Glasnik/MG23/06%20davor%20horvat.pdf
• ISSN: 1840-0132; 1840-2445

Aim To determine the impact of infarct localization and types of reperfusion therapy on the frequency of ventricular premature beats (VPBs) in patients with acute myocardial infarction (AMI) and reduced left ventricular ejection fraction (LVEF). Methods A total of 705 patients with acute ST elevation myocardial infarction (STEMI) were divided according to the infarct localization (anteroseptal, anterolateral, inferior and posterior) and reperfusion therapy (fibrinolysis or percutaneous coronary intervention with stenting) into two groups: LVEF<45% was an experimental group and LVEF>45% was a control group. The occurrence of VPBs<10 per hour was defined as a non-significant, and the occurrence of VPBs>10 per hour defined as a significant. Results In patients with fibrinolysis therapy and LVEF<45% significant number of VPBs were in anteroseptal (p=0.017), anterolateral (p<0.001) and posterior AMI (p<0.001), but in patients with percutaneous coronary intervention (PCI) and LVEF<45% significant number of VPBs were only in anteroseptal AMI (p=0.001) localization. Conclusion In patients with reduced ejection fraction in AMI, treatment with PCI method has a better antiarrhythmic effect compared to fibrinolysis treatment.