METHOD OF PREDICTION LIFE-THREATENING VENTRICULAR ARRHYTHMIAS IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

摘要

A method for predicting life-threatening ventricular arrhythmias in patients with acute myocardial infarction by studying clinical and laboratory parameters, characterized in that it additionally carried out continuous 12-lead ECG monitoring, determine the number of single and paired ventricular extrasystoles, the degree of elevation ST segment on the baseline ECG and the presence of additional increase in peak ST segment elevation during reperfusion, reperfusion arrhythmias presence, left ventricular systolic dimension, creatine osfokinazy (CK) and CK-fraction CPK in the blood and if the amount of single ventricular extrasystole (ES) over 10 ES / hour and / or amount of the pair of ventricular extrasystoles over 1 ES / hour and / or elevation ST segment on the original ECG more 200 uV / or registered peak additional increase in elevation ST segment during reperfusion and / or registered reperfusion arrhythmia and / or systolic dimension of left ventricle 40 mm or / and CK levels over 2000 U / l and / or level of CK-MB more 250 U / l, then the probability of w zneopasnyh ventricular arrhythmias during the first day of acute myocardial infarction - high, and if not observed, none of these factors and / or quantity of factor does not exceed said limit values, then the probability of occurrence of life-threatening ventricular arrhythmias during the first day of acute myocardial infarction - low.