| The significance of bundle branch block during acute myocardial infarction. | |
| | |
MedLine Citation:
|
PMID: 1163438 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Analysis of the course of 71 patients with acute myocardial infarction complicated by bundle branch block (BBB) confirms a high incidence of atrioventricular (A-V) block (42 per cent) and severe pump failure (35 per cent) in these patients. Hospital mortality was not correlated with BBB per se, but rather with the associated development of second or third degree A-V block (57 per cent with A-V block vs. 12 per cent without A-V block; p less than .0005) or severe pump failure (35 per cent with vs. 11 per cent without severe pump failure; p less than .001). However, late mortality was high and not significantly different among those surviving hospitalization whether transient A-V block was present or absent. Eight of 11 late deaths were sudden. Temporary pacing could not be shown to alter hospital survival statistically, but made the onset of complete heart block a hemodynamically smooth and clinically undetectable event in several patients who later survived. The place of permanent pacing in these patients cannot be clearly determined on the basis of this study or in the available literature. More data obtained either by pooling the experience of several centers or from a prospective randomized study are needed to determine the indications for permanent pacemakers. |
| | |
Authors:
|
A A Nimetz; S J Shubrooks; A M Hutter; R W DeSanctis |
Related Documents
:
|
1191458 - Complete heart block and systemic lupus erythematosus. 18731818 - Mechanism of syncope and action of drugs in complete heart block. 433748 - Hereditary bundle branch system defect. a new genetic entity? 97948 - Alternating left anterior hemiblock without associated tachycardia. 19716828 - Pleiotropic effects of neutrophils on myocyte apoptosis and left ventricular remodeling... 12918858 - Modified septal myectomy and repair of mitral valve apparatus for the treatment of hype... |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: American heart journal Volume: 90 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1975 Oct |
Date Detail:
|
Created Date: 1975-11-26 Completed Date: 1975-11-26 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 439-44 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Bundle-Branch Block / etiology*, therapy Death, Sudden Female Heart Block / etiology, mortality, therapy Humans Male Middle Aged Myocardial Infarction / complications*, pathology Pacemaker, Artificial Shock, Cardiogenic / mortality |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: ST-segment isolation and quantification as a means of improving diagnostic accuracy in treadmill str...
Next Document: Influence of variations in blood flow on renal A-V oxygen difference and renal oxygen consumption in...