Document Detail


Accelerated atrioventricular conduction during acute myocardial infarction.
MedLine Citation:
PMID:  868738     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three cases are described in which accelerated atrioventricular conduction occurred during an acute myocardial infarction. The first patient, an 82-year-old woman, developed a WPW syndrome suggesting posterior right ventricular preexcitation, a pattern which persisted for four months until her death. An accessory bundle was found on autopsy. Fibrotic changes, associated with acute lesions (hemorrhage, polymorphonuclear infiltrates) were present in the atrioventricular node and His-Purkinje system. Two men, of 47 and 74 years, developed a short PR interval associated with supraventricular tachycardia during the course of an acute myocardial infarction. The PR interval returned to its initial value in one case and remained unchanged for three months in the other. Accessory atrioventricular connections which became functional during myocardial ischemia may explain the various electrocardiographic patterns of preexcitation.
Authors:
S Gavrilescu; M Gavrilescu; C Luca
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  94     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1977 Jul 
Date Detail:
Created Date:  1977-07-29     Completed Date:  1977-07-29     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  21-7     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Atrioventricular Node / physiopathology*
Autopsy
Diagnosis, Differential
Electrocardiography*
Female
Heart Conduction System / physiopathology*
Humans
Male
Middle Aged
Myocardial Infarction / diagnosis,  physiopathology*
Wolff-Parkinson-White Syndrome / diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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