Fibrillazione ventricolare recidivante nell'infarto miocardico acuto trattata con successo mediante angioplastica coronarica: un caso clinico a favore dell'ipotesi di aritmogenicità del trombo coronarico?

Translated title of the contribution: Recurrent ventricular fibrillation in acute myocardial infarct treated successfully by coronary angioplasty: a clinical case in favor of the hypothesis of the arrhythmogenicity of the coronary thrombus?

Research output: Contribution to journalArticlepeer-review

Abstract

We describe a patient with acute myocardial infarction due to thrombotic occlusion of the left anterior descending coronary artery. Following thrombolytic therapy, five episodes of ventricular fibrillation recurred despite the absence of profibrillatory factors other than myocardial ischemia. Because of thrombolysis failure, rescue angioplasty associated with coronary stent implantation was performed. After successful mechanical artery recanalization, no recurrences of the malignant arrhythmia were observed. This case supports the concept, recently demonstrated in animals, that the process of intracoronary thrombosis itself may have arrhythmogenic effects above and beyond the impact of myocardial ischemia induced by coronary occlusion per se.

Translated title of the contributionRecurrent ventricular fibrillation in acute myocardial infarct treated successfully by coronary angioplasty: a clinical case in favor of the hypothesis of the arrhythmogenicity of the coronary thrombus?
Original languageItalian
Pages (from-to)1095-1099
Number of pages5
JournalCardiologia
Volume43
Issue number10
Publication statusPublished - Oct 1998

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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