Document Detail

The factors associated with fascicular block in acute anteroseptal infarction.
MedLine Citation:
PMID:  3341854     Owner:  NLM     Status:  MEDLINE    
To elucidate the genesis and effect of fascicular block, 131 patients with acute Q-wave anteroseptal infarction were studied. Thirty-seven patients had new onset of fascicular block in the coronary care unit. The hospital mortality rate was 16%. Multivariate analysis was performed to determine the important variables related to the occurrence of fascicular block and hospital mortality based on 17 clinical variables obtained at the time of hospital admission. Serum potassium level and heart rate were the significant factors predicting the occurrence of fascicular block, whereas cardiac output and arterial oxygen tension were important for hospital mortality. Therefore, not only the rise in the heart rate but also the effect of the serum potassium level on the conduction system are independent factors related to the occurrence of fascicular block, and fascicular block in itself has no significant influence on the hospital mortality.
T Sugiura; T Iwasaka; Y Takayama; N Takahashi; M Matsutani; M Inada
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of internal medicine     Volume:  148     ISSN:  0003-9926     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-03-23     Completed Date:  1988-03-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  529-33     Citation Subset:  AIM; IM    
Second Department of Internal Medicine, Kansai Medical University, Osaka, Japan.
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MeSH Terms
Arrhythmias, Cardiac / etiology
Atrial Fibrillation / etiology
Catheterization, Swan-Ganz
Heart Block / blood,  etiology*,  physiopathology
Middle Aged
Monitoring, Physiologic
Myocardial Infarction / blood,  complications*
Potassium / blood
Reg. No./Substance:

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