Читать книгу Practical Cardiovascular Medicine - Elias B. Hanna - Страница 136

Early NSVT (<48 hours) is not associated with any impairment of short- or long-term survival.¹⁴¹ Late NSVT (≥4 beats) is associated with impaired long-term survival.¹⁴⁵ NSVT does not require any specific therapy; provide general MI therapy and, more specifically, a β-blocker if possible.

E.Accelerated idioventricular rhythm = slow VT = slow wide ventricular rhythm at a rate of 60–100 (120) bpm. Its incidence is 20% in the first 48 hours, mostly after successful reperfusion. Its occurrence immediately after fibrinolytic therapy may signal reperfusion; however, since it frequently occurs without reperfusion, it cannot be used as a standalone reperfusion marker. In any case, it is benign and resolves spontaneously; no specific treatment is required.