PMID- 17631890 OWN - NLM STAT- MEDLINE DCOM- 20071212 LR - 20091111 IS - 1532-8430 (Electronic) IS - 0022-0736 (Linking) VI - 40 IP - 6 DP - 2007 Nov-Dec TI - Impact of electrical neurostimulation on persistent ST elevation after successful reperfusion by primary percutaneous coronary intervention. PG - 522-6 AB - AIMS: To study the effect of electrical neurostimulation on the ST segment shift in patients with ST elevation myocardial infarction (STEMI) with residual ST elevation after primary percutaneous coronary intervention (PCI). METHODS: After primary PCI, 38 patients with STEMI were divided into 2 groups. Group 1 received 15 minutes of active neurostimulation after the baseline electrocardiogram (ECG); group 2 received 15 minutes of active neurostimulation after 15 minutes of nonactive neurostimulation. RESULTS: In group 1, ST elevation decreased with neurostimulation from 0.65 +/- 0.56 to 0.55 +/- 0.51 (P = .02) and to 0.50 +/- 0.52 (P = .01) without electrical neurostimulation. In group 2, ST elevation changed without neurostimulation from 0.37 +/- 0.32 to 0.33 +/- 0.30 (P = NS) and to 0.28 +/- 0.27 (P = .01) with electrical neurostimulation. In a posthoc analysis, 17 responders had higher ST elevation at the ECG before active electrical neurostimulation than 21 nonresponders (P = .001). CONCLUSION: Electrical neurostimulation may result in significant additional reduction of ST elevation in STEMI after reperfusion treatment, in particular in patients with marked ST elevation on the first ECG after successful primary PCI. FAU - de Vries, Jessica AU - de Vries J AD - Department of Cardiology, Thoraxcenter, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands. j.de.vries@thorax.umcg.nl FAU - Svilaas, Tone AU - Svilaas T FAU - DeJongste, Mike J L AU - DeJongste MJ FAU - Nieuwland, Wybe AU - Nieuwland W FAU - Hoekstra-Mars, Erna W AU - Hoekstra-Mars EW FAU - Zijlstra, Felix AU - Zijlstra F LA - eng PT - Journal Article DEP - 20070713 PL - United States TA - J Electrocardiol JT - Journal of electrocardiology JID - 0153605 SB - IM MH - Angioplasty, Balloon/*adverse effects MH - Atrial Fibrillation/diagnosis/*etiology/*prevention & control MH - Electric Stimulation Therapy/*methods MH - Electrocardiography MH - Female MH - Humans MH - Male MH - Middle Aged MH - Treatment Outcome EDAT- 2007/07/17 09:00 MHDA- 2007/12/13 09:00 CRDT- 2007/07/17 09:00 PHST- 2007/01/09 00:00 [received] PHST- 2007/05/25 00:00 [accepted] PHST- 2007/07/17 09:00 [pubmed] PHST- 2007/12/13 09:00 [medline] PHST- 2007/07/17 09:00 [entrez] AID - S0022-0736(07)00570-5 [pii] AID - 10.1016/j.jelectrocard.2007.05.014 [doi] PST - ppublish SO - J Electrocardiol. 2007 Nov-Dec;40(6):522-6. doi: 10.1016/j.jelectrocard.2007.05.014. Epub 2007 Jul 13.