Sudden cardiac arrest in acute coronary syndromes mostly results from complex ventricular arrhythmias
Although the incidence has fallen with contemporary management, they still pose a threat for many patients
SYMPTOMS:
- chest pain or discomfort, which may involve tightness or fullness
- pain or discomfort in one or both arms, the jaw,neck, back
-shortness of breath
- feeling dizzy
- Nausea,sweating
TREATMENT
Beta blockers administered prophylactically have a protective effect
For recurrent episodes, pharmcologic treatment consists of beta blockers and amiodarone or in nonresponsive patients, lidocaine
Other antiarrhythmatic drugs play only a marginal role
Catheter ablation performed in qualified centres can be effective in recurrent episodes of ventricular tachycardia or ventricular fibrillation triggered by premature ventricular contractions
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