PMID- 26276651 OWN - NLM STAT- MEDLINE DCOM- 20160317 LR - 20150815 IS - 1840-2445 (Electronic) IS - 1840-0132 (Linking) VI - 12 IP - 2 DP - 2015 Aug TI - Impact of reperfusion therapy and infarct localization on frequency of premature ventricular beats in acute myocardial infarction. PG - 139-43 LID - 10.17392/820-15 [doi] AB - AIM: To determine the impact of infarct localization and types of reperfusion therapy on the frequency of ventricular premature beats (VPBs) in patients with acute myocardial infarction (AMI) and reduced left ventricular ejection fraction (LVEF). METHODS: A total of 705 patients with acute ST elevation myocardial infarction (STEMI) were divided according to the infarct localization (anteroseptal, anterolateral, inferior and posterior) and reperfusion therapy (fibrinolysis or percutaneous coronary intervention with stenting) into two groups: LVEF<45% was an experimental group and LVEF>45% was a control group. The occurrence of VPBs<10 per hour was defined as a non-significant, and the occurrence of VPBs>10 per hour defined as a significant. RESULTS: In patients with fibrinolysis therapy and LVEF<45% significant number of VPBs were in anteroseptal (p=0.017), anterolateral (p<0.001) and posterior AMI (p<0.001), but in patients with percutaneous coronary intervention (PCI) and LVEF<45% significant number of VPBs were only in anteroseptal AMI (p=0.001) localization. CONCLUSION: In patients with reduced ejection fraction in AMI, treatment with PCI method has a better antiarrhythmic effect compared to fibrinolysis treatment. CI - Copyright(c) by the Medical Assotiation of Zenica-Doboj Canton. FAU - Horvat, Davor AU - Horvat D AD - Internal Disease Service, General Hospital Karlovac, Karlovac; Croatia. FAU - Vincelj, Josip AU - Vincelj J AD - Institute of Cardiovascular Diseases, Dubrava University Hospital, Zagreb, University of Applied Health Studies; Zagreb, School of Medicine, University J. J. Strossmayer, Osijek; Croatia. LA - eng PT - Journal Article PL - Bosnia and Herzegovina TA - Med Glas (Zenica) JT - Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina JID - 101250177 SB - IM MH - Arrhythmias, Cardiac/etiology MH - Cardiac Complexes, Premature/*physiopathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/*pathology/*physiopathology/therapy MH - *Reperfusion MH - Retrospective Studies OTO - NOTNLM OT - fibrinolysis OT - percutaneous coronary intervention OT - ventricular arrhythmias EDAT- 2015/08/16 06:00 MHDA- 2016/03/18 06:00 CRDT- 2015/08/16 06:00 PHST- 2015/05/11 00:00 [received] PHST- 2015/06/09 00:00 [revised] PHST- 2015/07/01 00:00 [accepted] PHST- 2015/08/16 06:00 [entrez] PHST- 2015/08/16 06:00 [pubmed] PHST- 2016/03/18 06:00 [medline] AID - 10.17392/820-15 [doi] PST - ppublish SO - Med Glas (Zenica). 2015 Aug;12(2):139-43. doi: 10.17392/820-15.