Terapija poremećaja srčanog ritma u akutnom koronarnom sindromu

Abstract

Acute myocardial infarction (AMI) is the worst acute syndrome of coronary heart diseases (CHD) with high morbidity and mortality, and it has become a serious threat to human health. A leading hypothesis for a major mechanism of arrhythmias in the acute phase of coronary occlusion is micro-reentry due to inhomogeneity of the electrical characteristics of ischemic myocardium. Arrhythmias could be of ventricular or supraventricular origin and the most often are: ventricular premature beats, accelerated idioventricular rhythm, ventricular tachycardia ventricular fibrillation and supraventricular premature beats and atrial fibrillation. Management of this arrhythmias consists not only of proper drug regime selection but also in their quick recognition or possible prediction and not less important, correction of variuos abnormalities such as: plasma electrolyte concentrations, acid-base balance disturbances, hypoxemia, anemia, and digitalis intoxication.