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Vol. 3 No. 5 (2023)

Epidemiological Features of Non-Sustained Ventricular Tachycardia in Acute Coronary Syndrome with ST Segment Elevation.

Clinical Medicine And Health Research Journal, Vol. 3 No. 5 (2023), 15 September 2023 , Page 540-546
https://doi.org/10.18535/cmhrj.v3i5.231

Abstract

Background: Non-Sustained Ventricular Tachycardia is the most frequent ventricular arrhythmias in acute coronary syndrome with ST segment elevation, the assessment of its incidence and prognosis have been the subject of several international studies, but its epidemiological data is lacking in Algeria.


Aims: The main objective of our study is the determination of the frequency of Non-Sustained ventricular tachycardia in acute coronary syndrome with ST segment elevation, the secondary objective was the analysis of predictive factors of this arrhythmia, and related mortality.


Methods and materials:  In this prospective study, conducted in the cardiology department of Hussein Dey hospital (Algiers-Algeria), 467 patients with acute coronary syndrome with elevated ST segment (87 women and 380 men) were enrolled between 28 February 2014 and 16 July 2015. The average age is 60 ± 13 years; at admission, a Holter recorder was attached for continuous ECG monitoring during 48 hours


Kruskal’s ANNOVA or H tests were used for comparison of quantitative variables, χ2 test or Fisher’s exact test, were used for qualitative variables, all tests were performed with 1st species risk of 5%.


Results:  The frequency of Non-Sustained Ventricular Tachycardia is 28.3 % (132 patients), CI 95%: [24.2%-32.4%], multivariate analysis identified the following independent predictors: Age ≤ 58 years, current active smoking, presence of akinetic segment in echocardiography, and short time from symptom onset to emergency room.


The risk of in-hospital mortality is low, but not significant (Hazard Ration of 0.156. CI 95%: [0.21-1.177], p = 0.072)


Conclusion: NonSustained Ventricular tachycardia is the most frequent arrhythmias during acute coronary syndrome with elevated ST segment, its predictive factors according to our study are: Age ≤ 58 years, current active smoking, presence of akinetic segment in echocardiography, and short time from symptom onset to emergency room. The risk of in-hospital mortality is low, but not significant

Keywords:
  • Acute Coronary Syndrome, Non-Sustained Ventricular Tachycardia, current active smoking.

How to Cite

ZOUZOU, H. (2023). Epidemiological Features of Non-Sustained Ventricular Tachycardia in Acute Coronary Syndrome with ST Segment Elevation. Clinical Medicine And Health Research Journal, 3(5), 540–546. https://doi.org/10.18535/cmhrj.v3i5.231

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References

  • A V Ghuran , A J Camm. Ischaemic heart disease presenting as arrhythmias. British Medical Bulletin 2001; 59: 193–210.
  • Bulent Gorenek, Carina Blomstrom Lundqvist, Josep Brugada Terradellas. Cardiac arrhythmias in acute coronary syndromes position paper from the joint EHRA, ACCA, and EAPCI task force. Europace 2014 16, 1655-1673.
  • Eldar M, Sievner Z, Goldbourt U. Primary ventricular tachycardia in acute myocardial infarction: clinical characteristics and mortality. Ann Intern Med. 1992; 117:31–36.
  • Campbell R, Murray A, Julian D. Ventricular arrhythmias in the first 12 hours of acute myocardial infarction. Br Heart J. 1981;46: 351–357.
  • De Soyza N, Bissett J, Kane J, Murphy M, Doherty J. Ectopic ventricular prematurity and its relationship to ventricular tachycardia in acute myocardial infarction in man. Circulation. 1974; 50:529 –533.
  • Heidbuchel H, Tack J, Vanneste L, Ballet A, Ector H, VandeWerf F. Significance of arrhythmias during the first 24 hours of acute myocardial infarction treated with alteplase and effect of early administration of a b-blocker or a bradycardiac agent on their incidence. Circulation. 1994; 89:1051–1059.
  • Tatli E, Alicik G, Buturak A. Arrhythmias following revascularization procedures in the course of acute myocardial infarction: are they indicators of reperfusion or ongoing ischemia? Scientific World J. 2013; 2013.
  • QAMAR ZAMAN QAIM KHANI, ZUHAIB ZAHOOR SOOMRO, KANWAL NAZ. Ventricular Arrhythmias in Patients Undergoing Primary Percutaneous Coronary Intervention (PCI) for ST-Segment Elevation Myocardial Infarction (STEMI). P J M H S Vol. 16, No. 09, September, 2022 667. DOI: https://doi.org/10.53350/pjmhs22169667
  • Tachapong Ngarmukos, Charn Sriratanasthavorn, Buncha Sansaneevithayakul. Cardiac Arrhythmias in Thai Acute Coronary Syndrome Registry. J Med Assoc Thai 2007; 90 (Suppl 1): 58-64.
  • Rajendra H. Mehta, Kishore J. Harjai, Lorelei Grines, Gregg W. Stone, Judy Boura, David Cox, MD, William O’Neill, Cindy L. Grines, Sustained Ventricular Tachycardia or Fibrillation in the Cardiac Catheterization Laboratory Among Patients Receiving Primary Percutaneous Coronary Intervention Incidence, Predictors, and Outcomes. J Am Coll Cardiol 2004;43:1765–72
  • Marina M Demidova, J Gustav Smith, Carl-Johan Höijer, Prognostic impact of early ventricular fibrillation in patients with ST-elevation myocardial infarction treated with primary PCI. European Heart Journal. Acute Cardiovasc Care. 2012 Dec; 1(4): 302–311.
  • Hiratzka L, Rapaport E, Riegel B, Russell R, Smith E, Weaver W. ACC/AHA guidelines for the management of patients with acute myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction). J Am Coll Cardiol. 1996;28: 1328 –1428.
  • Peterson E, Shaw L, Califf R. Risk stratification after myocardial infarction. Ann Intern Med. 1997;126:561–582.
  • Bigger JT Jr, Dresdale FJ, Heissenbuttel RH. Ventricular arrhythmias in ischemic heart disease: mechanism, prevalence, significance, and management. Prog Cardiovasc Dis. 1977;19: 255-300.
  • Cheema AN, Sheu K, Parker M. Nonsustained ventricular tachycardia in the setting of acute myocardial infarction: tachycardia characteristics and their prognostic implications. Circulation. 1998;98: 2030-2036.
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