Download it and see for yourself!Impact of percutaneous coronary intervention on atrial and ventricular arrhythmias in patients with non-ST-segment elevation myocardial infarction.
The incidence of atrial and ventricular arrhythmias has been increasing recently in patients with non-ST-segment elevation myocardial infarction (NSTEMI), but whether percutaneous coronary intervention (PCI) has any effect remains unknown. We studied the occurrence of atrial and ventricular arrhythmias in patients with NSTEMI after PCI. Using continuous Holter monitoring, we recorded the occurrences of atrial and ventricular arrhythmias before and after PCI in 187 patients with NSTEMI. The interval from PCI to the occurrence of atrial or ventricular arrhythmias, duration of arrhythmias, and their relation to troponin-I levels were evaluated. Occurrence of ventricular arrhythmias was not significantly related to the interval from PCI to the occurrence of ventricular arrhythmias (P=0.89), but was significantly related to the levels of troponin-I (P=0.01). Occurrence of atrial arrhythmias was not significantly related to the interval from PCI to the occurrence of atrial arrhythmias (P=0.74) or troponin-I levels (P=0.07). However, occurrence of atrial arrhythmias was significantly related to the occurrence of ventricular arrhythmias (P=0.02). These findings suggest that ventricular arrhythmias may be associated with the timing of PCI, but not atrial arrhythmias. Further studies will be needed to determine the prognostic value of these findings.Symantec, maker of the world's leading anti-virus software, is reported to be on the verge of merging with Netgear, maker of many of the world's home networking gear.
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