| Heart block complicating acute inferior wall myocardial infarction. | |
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MedLine Citation:
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PMID: 1269267 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Heart block was noted in 60 (35 complete and 25 second-degree) of 410 patients with acute inferior wall myocardial infarction. This group with heart block was compared to a control group of 30 patients with acute inferior wall infarction without heart block. The incidences of prior myocardial infarction and hypertension, in addition to the highest level of serum creatine phosphokinase and a maximum degree of ST-segment elevation in the inferior leads, were all greater in patients with heart block, as compared to the controls. The incidences of various complications, including dizziness and syncope, transient hypotension, cardiogenic shock, and congestive heart failure, were also higher in the group with heart block, while sinus nodal distrubances and atrial arrhythmias occurred with equal frequency. The mortality in those with heart block was 28 percent compared to 13 percent for the control. It is concluded that patients with heart block complicating acute inferior myocardial infarction have a greater amount of myocardial necrosis, a higher incidence of complications, and a higher mortality. Insertion of a temporary pacemaker should be considered when specific indications are present and not routinely. |
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Authors:
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P K Gupta; E Lichstein; K D Chadda |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Chest Volume: 69 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1976 May |
Date Detail:
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Created Date: 1976-08-02 Completed Date: 1976-08-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 599-604 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Bundle-Branch Block / etiology Electrocardiography Female Heart Block / etiology*, mortality, therapy Heart Rate Humans Male Middle Aged Myocardial Infarction / complications* Pacemaker, Artificial Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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