ЖЕЛУДОЧКОВЫЕ ТАХИАРИТМИИ ПРИ ОСТРОМ КОРОНАРНОМ СИНДРОМЕ У ПАЦИЕНТОВ СТАРЧЕСКОГО ВОЗРАСТА

The present review assesses the frequency and type of ventricular tachyarrhythmias in senility (n = 388) patients with acute coronary syndrome, predictors of them development and effect on course of disease. Clinical and instrumental data have confirmed that ventricular tachyarrhythmias - life threatening arrhythmias most frequently develop at first 12 hours after coronary revascularization, accompanied by high level of hospital mortality, especially in patients with electrical storm. Ventricular tachyarrhythmias are associated with myocardial morpho-functional condition, electrolyte imbalance, coronary arteries lesion and duration of ischemic heart disease at pre-hospital stage. Prognosis of these arrhythmias depend on subepicardial myocardial ischemia availability and early coronary revascularization (infarct-depended artery).