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Then, why is it mentioned that, implanting a defibrillator soon after an acute myocardialinfarction, in those with left ventricular dysfunction and prone for ventricular arrhythmias and sudden cardiac death, is not useful? Then, why is it mentioned that, an implantable defibrillator, is not useful, soon after myocardialinfarction?
Those at risk of recurrent VT with previous myocardialinfarction and left ventricular dysfunction also need an implantable defibrillator. Polymorphic VT is managed by intravenous magnesium and measures to increase heart rate like pacing as it occurs most often in the setting of bradycardia and QT interval prolongation.
Use of drugs producing bradycardia like beta blockers in stages III and IV may precipitate low output state. Ratio of left ventricular peak E-wave velocity to flow propagation velocity assessed by color M-mode Doppler echocardiography in first myocardialinfarction: prognostic and clinical implications. J Cardiovasc Ultrasound.
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