Document Detail

Bundle branch block in acute myocardial infarction. Current concepts and indications.
MedLine Citation:
PMID:  7015766     Owner:  NLM     Status:  MEDLINE    
The blood supply to the conducting system is reviewed. As a result of discrete lesion in individual coronary arteries, specific patterns of conduction disturbances arise during myocardial infarction. Inferior wall infarctions produce relatively benign arrhythmia with blocks proximal to the bundle of His. Anterior infarctions tend to produce malignant arrhythmias, with blocks distal to the bundle of His. The appearance of intraventricular conduction blocks and bundle branch blocks may often be the only indication of the development of high grade atrioventricular block. The mortality of patients post-myocardial infarction with different conduction disorders increases but varies according to the nature of the conduction disturbance. Based upon such information, recommendations for temporary and permanent pacing are developed.
R J Kones; J H Phillips
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Acta cardiologica     Volume:  35     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  1980  
Date Detail:
Created Date:  1981-07-23     Completed Date:  1981-07-23     Revised Date:  2009-06-11    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  469-78     Citation Subset:  IM    
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MeSH Terms
Acute Disease
Bradycardia / therapy
Bundle-Branch Block / complications*,  therapy
Cardiac Pacing, Artificial
Creatine Kinase
Death, Sudden
Heart Block / mortality,  physiopathology,  therapy
Heart Conduction System
Myocardial Infarction / complications*
Reg. No./Substance:
EC Kinase

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

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