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[急性心肌梗死病程中室内传导阻滞的预后及治疗考量]

[Prognostic and therapeutic considerations on intraventricular block during a course of acute myocardial infarct].

作者信息

Longo F N, Trovato G, Oddo A

出版信息

Minerva Med. 1977 Dec 29;68(63):4265-72.

PMID:600466
Abstract

Intraventricular block was observed in 10% of a series of 250 cases of acute myocardial infarct observed at the Medical Division, S. Angelo Hospital, Messina. Mortality was not strictly related to the presence of block, though this was a negative factor in prognosis, but essentially to the degree of myocardial efficiency. It is felt that temporary pacemakers should only be fitted where myocardial insufficiency is slight, though this step can also be taken in more serious cases until further clinical evidence finally establishes the question of treatment.

摘要

在墨西拿圣安杰洛医院内科观察的250例急性心肌梗死病例中,有10%出现了室内传导阻滞。死亡率与传导阻滞的存在并非严格相关,尽管这是预后的一个负面因素,但本质上与心肌功能的程度有关。人们认为,临时起搏器仅应在心肌功能不全较轻的情况下安装,不过在更严重的病例中也可采取这一步骤,直到进一步的临床证据最终确定治疗问题。