open access

Vol 66, No 10 (2008)
Other
Published online: 2008-10-27
Submitted: 2012-12-28
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Electrocardiogram of the month
Ventricular fibrillation in acute myocardial infarction – do genes play a role?

Piotr Kukla, Marek Jastrzębski
Kardiol Pol 2008;66(10):1113-1116.

open access

Vol 66, No 10 (2008)
Other
Published online: 2008-10-27
Submitted: 2012-12-28

Abstract

We present two patients with ventricular fibrillation (VF) during acute myocardial infarction (AMI). First patient had torsade de pointes ventricular tachycardia episodes degenerating into VF 10 days after AMI treated with primary angioplasty. Second patient had multiple episodes of VF during the first day of AMI. He showed ST-segment elevation resembling Brugada pattern. We hypothesise that shape of ST-segment elevation during AMI might be important in assessing risk for VF. We propose that such ‘arrhythmogenic’ ST elevation might result more from systolic rather than diastolic current of injury during AMI. We discuss genetic predispositions (latent channellopathies) for VF during AMI.

Abstract

We present two patients with ventricular fibrillation (VF) during acute myocardial infarction (AMI). First patient had torsade de pointes ventricular tachycardia episodes degenerating into VF 10 days after AMI treated with primary angioplasty. Second patient had multiple episodes of VF during the first day of AMI. He showed ST-segment elevation resembling Brugada pattern. We hypothesise that shape of ST-segment elevation during AMI might be important in assessing risk for VF. We propose that such ‘arrhythmogenic’ ST elevation might result more from systolic rather than diastolic current of injury during AMI. We discuss genetic predispositions (latent channellopathies) for VF during AMI.
Get Citation

Keywords

ventricular fibrillation; myocardial infarction; long QT; Brugada syndrome; ST segment

About this article
Title

Electrocardiogram of the month
Ventricular fibrillation in acute myocardial infarction – do genes play a role?

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 66, No 10 (2008)

Pages

1113-1116

Published online

2008-10-27

Bibliographic record

Kardiol Pol 2008;66(10):1113-1116.

Keywords

ventricular fibrillation
myocardial infarction
long QT
Brugada syndrome
ST segment

Authors

Piotr Kukla
Marek Jastrzębski

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