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Arrhythmias Complicating Acute Myocardial Infarction: Atrial Tachyarrhythmias Including Atrial Fibrillation and Atrial Flutter

  • Dan L. Musat
  • Jonathan S. Steinberg
  • Delia Cotiga
  • Eyal Herzog

In patients presenting with acute coronary syndrome (ACS), supraventricular tachyarrhythmias (SVTs) are relatively common in the peri-infarction period. Their occurrence often heralds signifi cant myocardial ischemia with ventricular dysfunction or cardiogenic shock and may, in themselves, cause congestive heart failure and exacerbate ongoing myocardial ischemia. They also are a predictor of short- and long-term complications and prognosis [1–4].

Atrial tachyarrhythmias or narrow QRS complex tachycardias are defi ned as tachyarrhythmias with a rate faster than 100 beats per minute (bpm) and a QRS duration of less than 120 milliseconds (0.12 second), as demonstrated on the electrocardiogram (ECG) or cardiac monitor [5]. SVT is considered any tachyar-rhythmia that requires atrial or atrioventricular junctional tissue for its initiation and maintenance [6].

Keywords

Acute Myocardial Infarction Right Coronary Artery Atrial Tachycardia Atrial Arrhythmia Ventricular Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag London Limited 2008

Authors and Affiliations

  • Dan L. Musat
    • 1
  • Jonathan S. Steinberg
    • 2
  • Delia Cotiga
    • 2
  • Eyal Herzog
    1. 1.Department of CardiologySt. Luke's-Roosevelt Hospital Center Columbia University College of Physicians and SurgeonsNew YorkUSA
    2. 2.Division of Cardiology, Department of MedicineSt. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and SurgeonsNew YorkUSA

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