Document Detail


Factors associated with persistent and transient fascicular blocks in anterior wall acute myocardial infarction.
MedLine Citation:
PMID:  2929433     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the factors associated with persistent and transient fascicular blocks, 144 patients with Q-wave anterior wall acute myocardial infarction (AMI) were studied. Thirty-three patients had new onset of fascicular block considered to be a consequence of AMI. Multivariate analysis using 16 clinical variables revealed that the number of asynergic segments, serum potassium level and pericardial rub were significant factors related to the occurrence of fascicular block. Among the 33 patients with fascicular block, 18 had persistent (group 1) and 15 had transient (group 2) fascicular blocks. When the 2 groups with fascicular block were compared, group 1 had significantly more asynergic segments than group 2 (4.7 +/- 1.2 vs 3.7 +/- 1.6, respectively), whereas pericardial rubs were observed significantly more in group 2 (67%) than in group 1 (28%). Therefore, the inflammatory process of AMI was 1 of the mechanisms related to the occurrence of a transient fascicular block and a more extensive myocardial necrosis was associated with a persistent fascicular block.
Authors:
T Sugiura; T Iwasaka; T Hasegawa; M Matsutani; N Takahashi; Y Takayama; M Inada
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  63     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1989 Apr 
Date Detail:
Created Date:  1989-05-03     Completed Date:  1989-05-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  784-7     Citation Subset:  AIM; IM    
Affiliation:
Second Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Bundle-Branch Block / etiology*,  physiopathology
Female
Heart Sounds
Humans
Male
Middle Aged
Myocardial Contraction
Myocardial Infarction / blood,  complications*,  physiopathology
Potassium / blood
Chemical
Reg. No./Substance:
7440-09-7/Potassium

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


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