| Trifascicular and complete heart block with anterior myocardial infarction. Electrocardiographic patterns and long-term medical management. | |
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MedLine Citation:
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PMID: 699663 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 45-year-old man exhibited various patterns of delay in trifascicular conduction, culminating in complete heart block during acute myocardial infarction. A temporary pacemaker was utilized for the short period of heart block. Delay in ventricular conduction subsided, and the patient refused implantation of a permanent pacemaker. Ventricular irritability, which was detected eight months later, was suppressed with administration of digitalis, guided by testing with acetylstrophanthidin. Neither heart block nor delay in ventricular conduction recurred during 43 months after the infarction. In certain patients with heart block complicating anterior myocardial infarction, long-term prognosis may be dictated by coronary and myocardial residual function, rather than by the hazard of recurrent heart block. |
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Authors:
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M D Klein; P A Levine; T J Ryan |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chest Volume: 74 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1978 Oct |
Date Detail:
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Created Date: 1978-12-20 Completed Date: 1978-12-20 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: 459-62 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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Bundle-Branch Block
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complications*,
physiopathology Cardiac Pacing, Artificial Digitalis Glycosides / therapeutic use Electrocardiography Follow-Up Studies Heart Block / drug therapy, etiology*, physiopathology Heart Conduction System / physiopathology* Humans Male Middle Aged Myocardial Infarction / complications*, physiopathology Prognosis Strophanthidin / diagnostic use |
| Chemical | |
Reg. No./Substance:
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0/Digitalis Glycosides; 66-28-4/Strophanthidin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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