Arrhythmia due to reperfusion after thrombolytic therapy in patients with acute myocardial infarction

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dc.contributor.authorTavlı, Talat
dc.contributor.authorAvşar, Alaettin
dc.contributor.authorKorkut, Bayram
dc.contributor.authorDoğan, Abdullah
dc.contributor.authorDemir, Sedat
dc.contributor.authorSarı, Refik Ali
dc.contributor.authorGök, Hasan
dc.date.accessioned2020-03-26T16:55:45Z
dc.date.available2020-03-26T16:55:45Z
dc.date.issued2004
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: The aim of this study was to determine the relation between the incidence and frequency of ventricular arrhytmias and the time course of ST-segment changes in patients with successful thrombolysis. Method: This study included 46 patients (31 males 53±12years) with acute myocardial infarction (MI) who were treated with streptokinase (SK Group) and 41 MI patients (27 males 55±12 years) who did not receive any thrombolytic agent (Control Group). Electrocardiograms were obtained 90 minutes 6, 12, 18, 24, 48 and 72 hours after thrombolytic therapy and reduction in ST elevation at 90 minutes was calculated. All patients had wall motion abnormalities. Results: Overall arrhythmias were observed in 67%(n: 31) of patients in SK group compared to 63% (n:26) in control group (p=0.05). In subgroup analysis of SK group ventricular tachycardia (VT) was more frequent (37%) in patients with more than 50% reduction in ST elevation at 90 minutes compared with in other subgroups of patients (p<0.01). Postinfarction angina and systolic dysfunction were more frequent in the control group compared to the SK group (p<0.05). Conclusion: Our results suggest that reperfusion with fibrinolytics or the faster ref low may induce ventricular arrhythmias. However, it can also prevent the impairment in systolic function of the left ventricle.en_US
dc.identifier.citationTavlı, T., Avşar, A., Korkut, B., Doğan, A., Demir, S., Sarı, R. A., Gök, H. (2004). Arrhythmia due to reperfusion after thrombolytic therapy in patients with acute myocardial infarction. Eastern Journal of Medicine, 9(1), 17-21.
dc.identifier.endpage21en_US
dc.identifier.issn1301-0883en_US
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage17en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/19332
dc.identifier.volume9en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofEastern Journal of Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectArrhythmiaen_US
dc.subjectMyocardial infarctionen_US
dc.subjectReperfusionen_US
dc.subjectThrombolysisen_US
dc.subjectAritmi
dc.subjectTromboliz
dc.subjectMiyokard enfarktüsü
dc.subjectReperfüzyon
dc.titleArrhythmia due to reperfusion after thrombolytic therapy in patients with acute myocardial infarctionen_US
dc.typeArticleen_US

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