PMID- 33765245
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20210413
IS  - 2090-911X (Electronic)
IS  - 1110-2608 (Print)
IS  - 1110-2608 (Linking)
VI  - 73
IP  - 1
DP  - 2021 Mar 25
TI  - Percutaneous management of reperfusion arrhythmias during primary percutaneous 
      coronary intervention: a case report.
PG  - 30
LID - 10.1186/s43044-021-00158-5 [doi]
LID - 30
AB  - BACKGROUND: Myocardial reperfusion may cause profound electrophysiological 
      alterations and can lead to serious reperfusion arrhythmias (RA). Management of 
      RA and the accompanying electrical storm that may occur remains a problem. To our 
      knowledge, the role of balloon re-inflation of the infarct-related artery (IRA) 
      has never been addressed as a treatment modality for RA presenting as ventricular 
      tachycardia (VT) with pulse or supraventricular tachycardia (SVT). CASE 
      PRESENTATION: Six patients presenting with ST elevation myocardial infarction 
      (STEMI) in the first 12 h, who underwent successful primary percutaneous coronary 
      intervention (PCI), developed RA in the cathlab after restoration of flow in the 
      IRA. The RA was in the form of VT with pulse, except in one patient who had SVT. 
      In four patients, the RA was associated with hemodynamic instability. The mean 
      age of the studied patients was 59.16 +/- 7.94 years, and four were males. Coronary 
      artery disease risk factors were prevalent, with four patients being 
      hypertensive, two dyslipidemic, one diabetic, and 2 current smokers. One patient 
      had a history of prior myocardial infarction (MI), and none had a history of 
      congestive heart failure. The coronary angiography showed 100% occlusion of IRA 
      in all patients and 2-3-vessel disease was present in 50%. PCI was successful 
      with restoration of thrombolysis in myocardial infarction (TIMI) 2-3 flow in IRA 
      in all cases. The mean time to revascularization from the onset of chest pain was 
      4.88 +/- 2.68 h. In all cases, balloon re-inflation was successful in terminating 
      the arrhythmias. None of the patients needed direct current cardioversion or 
      anti-arrhythmic drugs for management of the acute arrhythmia. CONCLUSION: Balloon 
      re-inflation of IRA was successful in terminating RA that develop in the form of 
      VT with pulse or SVT.
FAU - Taha, Hesham Salah El Din
AU  - Taha HSED
AD  - Department of Cardiology, Faculty of Medicine, Cairo University, 27 Nafezet Sheem 
      El Shafae St Kasr Al Ainy, Cairo, 11562, Egypt. heshsalt@yahoo.com.
FAU - Shaker, Mirna Mamdouh
AU  - Shaker MM
AD  - Department of Cardiology, Faculty of Medicine, Cairo University, 27 Nafezet Sheem 
      El Shafae St Kasr Al Ainy, Cairo, 11562, Egypt.
LA  - eng
PT  - Journal Article
DEP - 20210325
PL  - Germany
TA  - Egypt Heart J
JT  - The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of 
      Cardiology
JID - 9106952
PMC - PMC7994471
OTO - NOTNLM
OT  - Balloon re-inflation
OT  - Case report
OT  - Primary percutaneous coronary intervention
OT  - Reperfusion arrhythmias
OT  - ST elevation myocardial infarction
COIS- The authors declare that they have no competing interests.
EDAT- 2021/03/26 06:00
MHDA- 2021/03/26 06:01
PMCR- 2021/03/25
CRDT- 2021/03/25 17:36
PHST- 2021/02/03 00:00 [received]
PHST- 2021/03/16 00:00 [accepted]
PHST- 2021/03/25 17:36 [entrez]
PHST- 2021/03/26 06:00 [pubmed]
PHST- 2021/03/26 06:01 [medline]
PHST- 2021/03/25 00:00 [pmc-release]
AID - 10.1186/s43044-021-00158-5 [pii]
AID - 158 [pii]
AID - 10.1186/s43044-021-00158-5 [doi]
PST - epublish
SO  - Egypt Heart J. 2021 Mar 25;73(1):30. doi: 10.1186/s43044-021-00158-5.