Risk stratification after myocardial infarction: role of electrical instability, ischemia, and left ventricular function

Cardiovascular Drugs and Therapy
A Bayés-de-LunaA Bayés-Genis

Abstract

The problem of risk stratification after myocardial infarction is reviewed. There are three major complications: new ischemic events, congestive heart failure, and malignant arrhythmias and sudden death, related to the presence of residual ischemia, left ventricular dysfunction, and electrical instability. The bidirectional interactions among these three factors is analyzed. The risk is in the middle of a triangle, the three angles of which are the above-mentioned factors. All the "satellite" factors that appear from all three angles are presented. Furthermore, the most important parameters and techniques employed to detect risk, multifactorial approach of risk stratification, and changes of risk stratification in the thrombolytic era are briefly reviewed.

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Citations

Feb 1, 1997·Clinical Cardiology·J Kautzner, A J Camm
May 1, 1995·Journal of Cardiovascular Electrophysiology·A Bayés-GenísA Bayés de Luna
Apr 22, 2005·Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc·Wojciech Zareba, Antoni Bayes de Luna

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