Background:？Arrhythmias after acute myocardial infarction are common. Bradyarrhythmias need specific insight into when and how to treat them. Objectives: To delineate the incidence, course, and management of different types ofbradyarrhythmias？after acute myocardial infarction, the study period was five？years. Methods: 453 patients with Acute Myocardial Infarction (AMI) were admitted to intensive care in five years. ECGs were analyzed for the presence of bradyarrhythmias and details of management. Results: 65 patients with bradycardia were found. Sinus bradycardia in？40, sick sinus syndrome in？10, junctional rhythm in？10, second-degree block？in？10, complete heart block in？24. We
References
[1]
Bonow, R.O., Mann, D.L., Zipes, D.P. and Libby, P. (2011) Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 9th Edition, Elsevier Science, Philadelphia.
[2]
Rotman, M., Wagner, G.S. and Wallace, A.G. (1972) Bradyarrhythmias in Acute Myocardial Infarction. Circulation, 45, 703-722. https://doi.org/10.1161/01.CIR.45.3.703
[3]
Hans-Joachim, T. (2010) Tachyarrhythmias, Bradyarrhythmias, and Acute Coronary Syndromes. Journal of Emergencies, Trauma, and Shock, 3, 137-142.
https://doi.org/10.4103/0974-2700.62112
[4]
Chadda, K.D., Lichstein, E., Gupta, P.K. and Choy, R. (1975) Bradycardia-Hypotension Syndrome in Acute Myocardial Infarction. Clinical Study, 59, 158-164.
https://doi.org/10.1016/0002-9343(75)90349-6
[5]
Davis, W.T., Montrief, T., Koyfman, A. and Long, B. (2019) Dysrhythmias and Heart Failure Complicating Acute Myocardial Infarction: An Emergency Medicine Review. The American Journal of Emergency Medicine, 37, 1554-1561.
https://doi.org/10.1016/j.ajem.2019.04.047
[6]
Harpaz, D., Behar, S., Gottlieb, S., Boyko, V., Kishon, Y. and Eldar, M. (1999) Complete Atrioventricular Block Complication Acute Myocardial Infarction in the Thrombolytic Era. Journal of the American College of Cardiology, 34, 721-728.
https://doi.org/10.1016/S0735-1097(99)00431-3
[7]
Harrak, S., Chikhi, F., Fellat, B. and Cherti, M. (2020) Atrioventricular Block in Acute Coronary Syndromes. ARC Journal of Cardiology, 6, 1-6.
https://doi.org/10.20431/2455-5991.0602001
[8]
Aufderheide, T.P. (1998) Arrhythmias Associated with Acute Myocardial Infarction and Thrombolysis. Emergency Medicine Clinics of North America, 16, 583-600.
https://doi.org/10.1016/S0733-8627(05)70019-5
[9]
Meine, T.J., Al-Khatib, S.M., Alexander, J.H., et al. (2005) Incidence, Predictors, and Outcomes of High-Degree Atrioventricular Block Complicating Acute Myocardial Infarction Treated with Thrombolytic Therapy. American Heart Journal, 149, 670-674.
https://doi.org/10.1016/j.ahj.2004.07.035
[10]
Brady, W.J. and Harrigan, R.A. (2001) Diagnosis and Management of Bradycardia and Atrioventricular Block Associated with Acute Coronary Ischemia. Emergency Medicine Clinics of North America, 19, 371-384.
https://doi.org/10.1016/S0733-8627(05)70189-9
[11]
Musat, D.L., Cotiga, D., Pierce, W. and Arshad, A. (2008) Arrhythmias Complicating Acute Myocardial Infarction—Bradyarrhythmias. In: Hong, M.K. and Herzog, E., Eds., Acute Coronary Syndrome, Springer, London, 163-174.
https://doi.org/10.1007/978-1-84628-869-2_16
[12]
Lee, Z.V. and Hanif, B. (2018) Historical Perspectives on Management of Acute Myocardial Infarction. In: Watson, T.J., Ed., Primary Angioplasty: A Practical Guide, Springer, Berlin, 1-13. https://doi.org/10.1007/978-981-13-1114-7_1
[13]
Brignole, M., Auricchio, A., Baron-Esquivias, G., et al. (2013) 2013 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy: The Task Force on Cardiac Pacing and Resynchronization Therapy of the European Society of Cardiology (ESC). Developed in Collaboration with the European Heart Rhythm Association (EHRA). European Heart Journal, 34, 2281.
https://doi.org/10.1093/eurheartj/eht150
[14]
Abidov, A., Kaluski, E., Hod, H., et al. (2004) Influence of Conduction Disturbances on Clinical Outcome in Patients with Acute Myocardial Infarction Receiving Thrombolysis (Results from the ARGAMI-2 Study). American Journal of Cardiology, 93, 76-80. https://doi.org/10.1016/j.amjcard.2003.09.016
[15]
Swart, G., Brady, W.J., DeBehnke, D.J., Ma, O.J. and Aufderheide, T.P. (1999) Acute Myocardial Infarction Complicated by Hemodynamically Unstable Bradyarrhythmia: Prehospital and ED Treatment with Atropine. The American Journal of Emergency Medicine, 17, 647-652 https://doi.org/10.1016/S0735-6757(99)90151-1
[16]
Burri, H. and Nicolas, D. (2018) Acute Management of Bradycardia in the Emergency Setting. Cardiovascular Medicine, 21, 98-104.
https://doi.org/10.4414/cvm.2018.00554
[17]
Morrison, L.J., Long, J., Vermeulen, M., Schwartz, B., Sawadsky, B., Frank, J., et al. (2008) A Randomized Controlled Feasibility Trial Comparing Safety and Effectiveness of Prehospital Pacing versus Conventional Treatment: “PrePACE”. Resuscitation, 76, 341-349. https://doi.org/10.1016/j.resuscitation.2007.08.008
[18]
Brignole, M., Auricchio, A., Baron-Esquivias, G., Bordachar, P., Boriani, G., Breithardt, O.A., et al. (2013) 2013 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy: The Task Force on Cardiac Pacing and Resynchronization Therapy of the European Society of Cardiology (ESC). Developed in Collaboration with the European Heart Rhythm Association (EHRA). Europace, 15, 1070-1118.
https://doi.org/10.1093/europace/eut206
[19]
Kusumoto, R.M., Schoenfeld, M.H., Barrett, R.N., Edgerton, J.R., Kenneth, A., Ellen- bogen, K.A., et al. (2019) 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients with Bradycardia and Cardiac Conduction Delay. Circulation, 140, e382-e482. https://doi.org/10.1016/j.hrthm.2018.10.036
[20]
Rosa, S.A., Timóteo, A.T., Ferreira, L., Carvalho, R., Oliveira, M., Cunha, P., Viveiros, M.A., Portugal, G., Almeida, M.L., Daniel, P. and Ferreira, R.C. (2018) Complete Atrio- ventricular Block in Acute Coronary Syndrome: Prevalence, Characterisation and Implication on Outcome. European Heart Journal. Acute Cardiovascular Care, 7, 218-223. https://doi.org/10.1177/2048872617716387
[21]
Ibanez, B., James, T., Agewall, S., Bucciarelli-Ducci, A., Bueno, H., et al. (2018) 2017 ESC Guidelines for the Management of Acute Myocardial Infarction in Patients Presenting with ST-Segment Elevation. European Heart Journal, 39, 119-177.
https://doi.org/10.1093/eurheartj/ehx393
[22]
Gorenek, B., Lundqvist, C.B., Brugada, T.J., Camm, A.J., Hindricks, G. and Huber, K. (2014) Cardiac Arrhythmias in Acute Coronary Syndromes: Position Paper from the Joint EHRA, ACCA, and EAPCI Task Force. Europace, 16, 1655-1673.
https://doi.org/10.1093/europace/euu208
