THE PORTRAITS OF PATIENTS WITH MYOCARDIAL INFARCTION COMPLICATED BY CARDIAC CONDUCTION DISORDERS
- Authors: Bryukhanova I.A1, Gorbunova E.V1, Mamchur S.E1, Barbarash O.L1
-
Affiliations:
- Research Institute for Complex Issues of Cardiovascular Diseases
- Issue: Vol 33, No 3 (2022)
- Pages: 50-55
- Section: Articles
- URL: https://journals.rcsi.science/0236-3054/article/view/143103
- DOI: https://doi.org/10.29296/25877305-2022-03-10
- ID: 143103
Cite item
Abstract
Objective, to comparatively analyze the clinical and historical data of patients with myocardial infarction (MI) complicated by heart block, in the absence of indications for continuous cardiac pacing and in the presence of indications for pacemaker implantation in the acute and delayed periods after the index event. Subjects and methods. The authors formed a cohort of patients with prior MI (2011-2015) complicated by cardiac conduction disorders. Group 1 included 72 patients in whom a pacemaker (PM) had not been implanted; Groups 2 (n=46) and 3 (n=68) consisted of MI patients who had indications for early and delayed pacemaker implantation, respectively. Results Group 1 showed a preponderance of patients with inferior ST-segment elevation MI (STEMI), second-degree atrioventricular (AV) block, single-vessel coronary artery disease, and successful percutaneous coronary intervention. Group 2 included patients with anterior non-STEMI complicated by Killip class II-IV who had multivessel coronary artery disease, mainly with third-degree AV block. In Group 3, there were equal proportions of STEMI and inferior non-STEMI complicated by second-degree AV block corrected by continuous cardiac pacing at 3.2±1.9 years after an acute coronary event. Conclusion. The found differences in the clinical and historical data of patients with MI complicated by heart block suggest that it is advisable to elaborate an algorithm that determines the management tactics for patients with impaired cardiac conduction in acute MI.
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##article.viewOnOriginalSite##About the authors
I. A Bryukhanova
Research Institute for Complex Issues of Cardiovascular Diseases
Email: e.v.gorbunova@yandex.ru
Кемерово
E. V Gorbunova
Research Institute for Complex Issues of Cardiovascular Diseases
Email: e.v.gorbunova@yandex.ru
доктор медицинских наук Кемерово
S. E Mamchur
Research Institute for Complex Issues of Cardiovascular Diseases
Email: e.v.gorbunova@yandex.ru
доктор медицинских наук
КемеровоO. L Barbarash
Research Institute for Complex Issues of Cardiovascular Diseases
Author for correspondence.
Email: e.v.gorbunova@yandex.ru
член-корреспондент РАН, доктор медицинских наук, профессор
КемеровоReferences
- Yadav S., Yadav H., Dwivedi S.K. et al. The time to reversal of complete atrioventricular block and its predictors in acute ST-segment elevation myocardial infarction. J Electrocardiol. 2020; 63: 129-33. doi: 10.1016/j.jelectrocard.2020.10.008
- Chera H.H., Mitre C.A., Nealis J. et al. Frequency of complete atrioventricular block complicating ST-elevation myocardial infarction in patients undergoing primary percutaneous coronary intervention. Cardiology. 2018; 140 (3): 146-51. doi: 10.1159/000491076
- Kosmidou I., Redfors B., McAndrew T. et al. Worsening atrioventricular conduction after hospital discharge in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention: the HORIZONS-AMI trial. Coron Artery Dis. 2017; 28 (7): 550-6. doi: 10.1097/MCA.0000000000000525
- Искендеров Б.Г., Казанцев А.В., Ильин О.А. и др. Сроки и показания к имплантации кардиостимулятора у больных острым инфарктом миокарда, осложненным атриовентрикулярной блокадой. Кардиология. 2000; 8: 20-4.
- Искендеров Б.Г., Максимов Д.Б. Атриовентрикулярные блокады, осложнившие течение острого инфаркта миокарда: выбор оптимальных сроков и уточнение показаний к имплантации кардиостимулятора. Известия высших учебных заведений. Поволжский регион. Медицинские науки. 2011; 2 (18): 82-9.
- Острый коронарный синдром без подъема сегмента ST электрокардиограммы. Клинические рекомендации Министерства здравоохранения Российской Федерации. М., 2020; с. 152.
- Острый инфаркт миокарда с подъемом сегмента ST электрокардиограммы. Клинические рекомендации Министерства Здравоохранения Российской Федерации. М., 2020; с. 157.
- Мамараджапова Д.А., Мамутов Р.Ш., Уринов О. Догоспитальная и госпитальная внезапная сердечная смерть от острого инфаркта миокарда в зависимости от факторов риска. Вестник экстренной медицины. 2014; 1: 55-60.
- Бадыков М.Р., Плечев В.В., Сагитов И.Ш. и др. Анализ осложнений и особенности коронарного кровоснабжения у пациентов с синдром слабости синусового узла и имплантированным электрокардиостимулятром. Медицинский вестник Башкортостана. 2018; 13 (3): 11-6.
- Клинические рекомендации по применению электрокардиостимуляторов, имплантируемых кардиовертеров-дефибрилляторов, устройств для сердечной ресинхронизирующей терапии и имплантируемых кардиомониторов. М. 2017; с. 702.
- Stewart R.A.H., Gao W., French J.K. et al. Or the Hirulog and Early Reperfusion or Occlusion (HERO-2) Trial Investigators. Prognostic differences between different types of bundle branch block during the early phase of acute myocardial infarction: insights from the Hirulog and Early Reperfusion or Occlusion (HERO)-2 trial. Eur Heart J. 2006; 27 (1): 21-8. doi: 10.1093/eurheartj/ehi622
- Клинические рекомендации Министерства Здравоохранения Российской Федерации «Брадиаритмии и нарушения проводимости». М., 2020; с. 113.
- Samii S.M. Indications for pacemakers, implantable cardioverter-defibrillator and cardiac resynchronization devices. Med Clin North Am. 2015; 99 (4): 795-804. DOI: 10.1016/j. mcna.2015.02.008
- Fan X., Maharjan P., Liu P. et al. Effect of primary PCI on the recovery of atrioventricular block in inferior STEMI patients with late presentation (>12 hours): insights from a single center 10-year experience. J Investig Med. 2020; 68 (5): 1011-4. doi: 10.1136/jim-2019-001255
- Malik J., Laique T., Farooq M.H. et al. Impact of primary percutaneous coronary intervention on complete atrioventricular block with acute inferior ST-elevation myocardial infarction. Cureus. 2020; 12 (8): e10013. doi: 10.7759/cureus.10013