PCI Complications: Arrhythmias and Cardiac Arrest

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Editors-In-Chief:Alexandra Almonacid M.D. [1] and Jeffrey J. Popma M.D. [2]

• VPB most common, Ventricular Tachycardia and Ventricular Fibrillation
  • Secondary to catheters, wires and pacing catheters in the chambers
  • Contrast injections into the right coronary artery (prolonged, damped, prolonged QT interval)
  • Prolonged ischemia due to guiding catheter dampening
• Bradyarrhythmias
  • Most often secondary to injections (cough, cough, cough…)
  • Vasovagal – treat with fluids and atropine