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Life-threatening arrhythmias with spontaneous restoration of sinus rhythm in a patient with acute coronary syndrome

https://doi.org/10.18705/2311-4495-2016-3-3-97-100

Abstract

Life-threatening arrhythmia in most percent of cases are the direct causes of sudden cardiac death. Self-recovery heart rate occurs due to spontaneous thrombolysis to them and due to reperfusion or as a result of imitation precordial shock caused by falling from height of own growth. This case represents a rare authentically-documented clinical fact that sudden death due to life-threatening arrhythmias occurred during exercise. Apparently, when restoring sinus rhythm were involved in both of the above-described mechanism. Judging by the development of acute transient conduction disorders and multiple episodes of accelerated idioventricular rhythm, we can assume either spontaneous thrombolysis on the background of acute coronary insufficiency, either alone allowed long koronaroangiospazm.

About the Authors

Elizaveta G. Lyakhovets
St. Petersburg Research Institute of Emergency Medicine n.a. I.I. Dzhanelidze
Russian Federation


Victor A. Kostenko
St. Petersburg Research Institute of Emergency Medicine n.a. I.I. Dzhanelidze
Russian Federation


Elena A. Skorodumova
St. Petersburg Research Institute of Emergency Medicine n.a. I.I. Dzhanelidze
Russian Federation


Yulia B. Shulenina
St. Petersburg Research Institute of Emergency Medicine n.a
Russian Federation


References

1. Novikova C.A. Life-threatening arrhythmias in cases of acute coronary disease with out elevation St. Author, diss.. candidate of medical sciences: 14.01.05. Moscow, 2011. In Russian. [Новикова О.А. Жизнеугрожающие желудочковые аритмии у больных с острым коронарным синдромом без подъема сегмента ST: прогнозирование и предупреждение их развития. Автореф. дисс.. кандидата медицинских наук: 14.01.05. Москва, 2011].

2. Obeyesekere M.N., Leong-Sit P., Massel D., Manlucu J., Modi S., Krahn A.D., Skanes A.C., Yee R., Gula L.J., Klein G.J. Risk of arrhythmia and sudden death in patients with asymptomatic preexcitation: a meta-analysis. Circulation. 2012; 125(19): 2308-2315.


Review

For citations:


Lyakhovets E.G., Kostenko V.A., Skorodumova E.A., Shulenina Yu.B. Life-threatening arrhythmias with spontaneous restoration of sinus rhythm in a patient with acute coronary syndrome. Translational Medicine. 2016;3(3):97-100. (In Russ.) https://doi.org/10.18705/2311-4495-2016-3-3-97-100

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ISSN 2311-4495 (Print)
ISSN 2410-5155 (Online)