Reperfusion arrhythmia was described originally in the thrombolytic era .
It can be any of the the following .
- AIVR(Accelerated Idio Ventricular rhythm)
- Sinus bradycardia (In Infero posterior MI )
- VF can occur as Re-perfusion arrhythmia.
Does these arrhythmia occur following primary PCI ?
It should isn’t ?
In fact it must be more pronounced as we believe PCI is far superior modality for reperfusion !
Busy Interventional cardiologists of the current era either do not look for it or fail to document it . These arrhythmias occurs only with early Primary PCI (Say less than 2-3 hours) .If re-perfusion arrhythmias are really less common with primary PCI , are we missing some thing ?
Dr.S.Venkatesan MD 