Artificial pacing in management of complete heart block complicating acute myocaerdial infarction

Autor: D. G. Julian, B. W. Lassers
Rok vydání: 1968
Předmět:
Zdroj: BMJ. 2:142-146
ISSN: 1468-5833
0959-8138
DOI: 10.1136/bmj.2.5598.142
Popis: Complete heart block complicates approximately 6 to 8% of cases of acute myocardial infarction and is associated with a high mortality (Julian et al., 1964 ; Meltzer, 1967 ; Siddons and Sowton, 1967). In some patients death may be due to coexistent severe myocardial damage rather than to a compli cation of heart block itself, but in others it can be attributed to ventricular asystole or severe bradycardia. In the latter cases control of the cardiac rhythm by drugs or artificial pacing may be effective and life-saving. The purpose of this communica tion is to review the first 51 cases of complete heart block complicating acute myocardial infarction admitted to the coronary care unit of the Royal Infirmary, Edinburgh, with particular reference to the role of pacing in the management of this disorder of conduction.
Databáze: OpenAIRE