Servicio de Consulta Externa de Cardiología.
Servicio de Hospitalización de Cardiología.
Arch Cardiol Mex. 2024;94(2):181-190. doi: 10.24875/ACM.23000008.
One of the complications during an acute coronary syndrome event is the presence of arrhythmias. Among them, those of the supraventricular type, especially atrial fibrillation, carry a poor prognosis both in the short and long term, being the cause of situations such as cerebrovascular event, ventricular arrhythmias, and increased mortality. The arrhythmia tends to appear in a certain population group with particular risk factors during the index event in approximately 10% of cases. Appropriate treatment at the time of its onset, thanks to the use of drugs that modulate heart rate, rhythm, and anticoagulant management in the most vulnerable groups, will lead to a less bleak outcome for these patients.
急性冠状动脉综合征事件期间的并发症之一是心律失常的存在。其中，室上性心律失常，尤其是心房颤动，在短期和长期预后都较差，是导致如脑血管事件、室性心律失常和死亡率增加等情况的原因。在大约 10%的情况下，这种心律失常会出现在指数事件中有特定危险因素的特定人群中。在其发生时，通过使用调节心率、节律的药物和对最脆弱人群的抗凝管理进行适当的治疗，将为这些患者带来不那么黯淡的结局。
