Home > Journals > Minerva Cardioangiologica > Past Issues > Minerva Cardioangiologica 2003 June;51(3) > Minerva Cardioangiologica 2003 June;51(3):275-86

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,752


eTOC

 

REVIEWS  


Minerva Cardioangiologica 2003 June;51(3):275-86

language: English

Life threatening ventricular arrhythmias with transient or correctable causes

Veenhuyzen G. D., Wyse D. G.


PDF  


Traditionally, myocardial ischemia, electrolyte disorders, and proarrhythmic drug reactions have been considered transient and correctable causes of life threatening ventricular tachyarrhythmias. Recent evidence suggests that patients whose ventricular tachyarrhythmias are attributed to these ''causes'' have a poor outcome. This overview reviews the available literature examining ischemia, electrolyte disorders and pro-arrhythmic drug reactions as potentially reversible causes of ventricular tachycardia (VT) and ventricular fibrillation (VF). While all 3 are undoubtedly involved in the genesis of these tachyarrhythmias, and all 3 deserve particular clinical attention (outlined in the text), difficulties in the identification and/or reversal of their influences exist. Proarrhythmic drug reaction may be a reversible cause of VT/VF, hypokalemia and hypomagnesemia should be considered risk factors for VT/VF, and the role of ischemia is complex. Accordingly, physicians should use extreme caution in attributing life-threatening ventricular tachyarrhythmias to these 3 conditions. Further research is required to identify ''truly reversible'' causes of VT/VF.

top of page

Publication History

Cite this article as

Corresponding author e-mail