| Autor: |
Bassan, Roberto, Maia, Ivan G., Bozza, Augusto, Amino, José Geraldo C., Santos, Mauro |
| Zdroj: |
Journal of the American College of Cardiology; October 1986, Vol. 8 Issue: 4 p773-778, 6p |
| Abstrakt: |
In a prospective study 51 consecutive patients who survived the acute phase of inferior wall myocardial infarction underwent coronary arteriography. Eleven patients developed some degree of atrioventricular (AV) block in the acute phase of infarction that disappeared within a few days and was considered by electrocardiographic analysis to be located in the AV node. Patients with AV block during acute myocardial infarction had a significantly higher prevalence of left anterior descending coronary artery obstruction (91 versus 55%, p > 0.05) than did patients without AV block and the obstruction preceded the exit of the first septal perforator branch in 73% of cases with heart block and in 30% of cases without block (p > 0.01). The sensitivity, specificity and predictive values were 31,95 and 91%, respectively, for the existence of left anterior descending coronary artery obstruction when AV block occurred during acute inferior myocardial infarction, and 40, 90 and 73%, respectively, for the occurrence of the coronary artery obstruction before the exit of the first septal perforator branch. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
|
