ST elevation myocardial infarction pacemaker implantation

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The importance of reducing Door-to-Balloon times
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Recommendations for Perioperative Management–Timing of Elective Noncardiac Surgery in Patients Treated With PCI and DAPT

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Overview
Inhibition of the Renin-Angiotensin-Aldosterone System
Cardiac Rehabilitation
Pacemaker Implantation
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Implantable Cardioverter Defibrillator
ICD implantation within 40 days of myocardial infarction
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]

2013 Revised ACCF/AHA Guidelines for the Management of ST-Elevation Myocardial Infarction and 2012 ACC/AHA/HRS Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities (DO NOT EDIT)[1][2][3]

Pacing in STEMI (DO NOT EDIT)[2]

Class I
"1. Temporary pacing is indicated for symptomatic bradyarrhythmias unresponsive to medical treatment.(Level of Evidence: B)"

Permanent Pacing After the Acute Phase of Myocardial Infarction (DO NOT EDIT)[3]

Class I
"1. Permanent ventricular pacing is indicated for persistent second-degree AV block in the His-Purkinje system with alternating bundle-branch block or third-degree AV block within or below the His-Purkinje system after ST-segment elevation myocardial infarction.[4][5][6][7][8][9](Level of Evidence: B)"
"2. Permanent ventricular pacing is indicated for transient advanced second- or third-degree infranodal AV block and associated bundle-branch block. If the site of block is uncertain, an electrophysiological study may be necessary.[5][6](Level of Evidence: B)"
"3. Permanent ventricular pacing is indicated for persistent and symptomatic second- or third-degree AV block. (Level of Evidence: C)"
Class III (No Benefit)
"1. Permanent ventricular pacing is not indicated for transient AV block in the absence of intraventricular conduction defects. [5](Level of Evidence: B)"
"2. Permanent ventricular pacing is not indicated for transient AV block in the presence of isolated left anterior fascicular block. [7](Level of Evidence: B)"
"3. Permanent ventricular pacing is not indicated for new bundle-branch block or fascicular block in the absence of AV block. [10][5](Level of Evidence: B)"
"4. Permanent ventricular pacing is not indicated for persistent asymptomatic first-degree AV block in the presence of bundle-branch or fascicular block. [5](Level of Evidence: B)"
Class IIb
"1. Permanent ventricular pacing may be considered for persistent second- or third-degree infranodal AV block at the AV node level, even in the absence of symptoms. [11](Level of Evidence: B)"

Sources

  • 2013 Revised ACCF/AHA Guidelines for the Management of ST-Elevation Myocardial Infarction [2]
  • The ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities [3]

References

  1. Epstein AE, DiMarco JP, Ellenbogen KA, Estes NA, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA, Newby LK, Page RL, Schoenfeld MH, Silka MJ, Stevenson LW, Sweeney MO, Tracy CM, Epstein AE, Darbar D, DiMarco JP, Dunbar SB, Estes NA, Ferguson TB, Hammill SC, Karasik PE, Link MS, Marine JE, Schoenfeld MH, Shanker AJ, Silka MJ, Stevenson LW, Stevenson WG, Varosy PD (2013). "2012 ACCF/AHA/HRS focused update incorporated into the ACCF/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society". J. Am. Coll. Cardiol. 61 (3): e6–75. PMID 23265327. doi:10.1016/j.jacc.2012.11.007. 
  2. 2.0 2.1 2.2 O'Gara PT, Kushner FG, Ascheim DD; et al. (2012). "2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction: Executive Summary: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. PMID 23247303. doi:10.1161/CIR.0b013e3182742c84.  Unknown parameter |month= ignored (help)
  3. 3.0 3.1 3.2 Epstein AE, DiMarco JP, Ellenbogen KA, Estes NAM III, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA, Newby LK, Page RL, Schoenfeld MH, Silka MJ, Stevenson LW, Sweeney MO. ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices). Circulation. 2008; 117: 2820–2840. PMID 18483207
  4. Ranganathan N, Dhurandhar R, Phillips JH, Wigle ED (1972). "His Bundle electrogram in bundle-branch block.". Circulation. 45 (2): 282–94. PMID 5009474. 
  5. 5.0 5.1 5.2 5.3 5.4 Col JJ, Weinberg SL (1972). "The incidence and mortality of intraventricular conduction defects in acute myocardial infarction.". Am J Cardiol. 29 (3): 344–50. PMID 5060806. 
  6. 6.0 6.1 Ritter WS, Atkins JM, Blomqvist CG, Mullins CB (1976). "Permanent pacing in patients with transient trifascicular block during acute myocardial infarction.". Am J Cardiol. 38 (2): 205–8. PMID 952264. 
  7. 7.0 7.1 Ginks WR, Sutton R, Oh W, Leatham A (1977). "Long-term prognosis after acute anterior infarction with atrioventricular block.". Br Heart J. 39 (2): 186–9. PMC 483214Freely accessible. PMID 836733. 
  8. Domenighetti G, Perret C (1980). "Intraventricular conduction disturbances in acute myocardial infarction: short- and long-term prognosis.". Eur J Cardiol. 11 (1): 51–9. PMID 7363920. 
  9. Lamas GA, Muller JE, Turi ZG, Stone PH, Rutherford JD, Jaffe AS; et al. (1986). "A simplified method to predict occurrence of complete heart block during acute myocardial infarction.". Am J Cardiol. 57 (15): 1213–9. PMID 3717016. 
  10. Johansson BW (1966). "Complete heart block. A clinical, hemodynamic and pharmacological study in patients with and without an artificial pacemaker.". Acta Med Scand Suppl. 451: 1–127. PMID 5223645. 
  11. Shaw DB, Holman RR, Gowers JI (1980). "Survival in sinoatrial disorder (sick-sinus syndrome).". Br Med J. 280 (6208): 139–41. PMC 1600350Freely accessible. PMID 7357290. 

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