Acta Medica Medianae
Ventricular fibrillation in acute myocardial infarction. Case report
Tomislav Kostić, Zoran Perišić, Sonja Šalinger Martinović, Svetlana Apostolović, Milan Živković, Nenad Božinović, Nebojša Krstić i Milan Pavlović
Sudden cardiac death poses an immense problem in the middle and highly developed countries, because its first expression is at the same time the last one. Ventricle tachycardia, the monomorphous and the polymorphous ones, and ventricular fibrillation are rhythm disorders that are most frequently associated with the phenomenon of sudden cardiac death. Ventricular fibrillation is the most common cause of sudden cardiac death within the first hours of acute myocardial infarction. A 60-year-old man was admitted to our Clinic from a local hospital due to acute onset of chest pain and ECG signs of anterior ST segment elevation myocardial infarction. He had severe rhythmical disturbances, about 70 epizodes of ventricular fibrilation (VF). Due to rhytmical instability of the patient, we decided that along with PCI it was necessary to implant the ICD twenty-two days after the first acute coronary event. The ICD implantation ensures the best prevention against sudden cardiac death (secondary and primary) in selected high-risk patients and has no alternative in medicines known so far. It is significant that, lately, the field of application has extended to indication areas of primary prevention of sudden cardiac death, and especially to development of resynchronization implantable cardioverter defibrillator in the heart failure therapy. Acta Medica Medianae 2009;48(3):43-46.
Key words: acute myocardial infarction, ventricular fibrillation, implantable cardioverter defibrillator (ICD)