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[急性心肌梗死时心室传导阻滞的预后及治疗考量]

[Prognostic and therapeutic considerations in intraventricular blocks in acute myocardial infarct].

作者信息

Oddo A, Busà G, Briguglio F S

出版信息

Minerva Med. 1982 Apr 2;73(14):851-4.

PMID:7070697
Abstract

Intraventricular blocks were observed in 26% of 122 cases of acute myocardial infarction in the Medical Division "S. Angelo Hospital", Messina. Mortality in hospital, which was higher in cases with RBBB + LBBB, LBBB + BAV, above all was caused by myocardial insufficiency. It's Authors' opinion that temporary electrical stimulation is useless in cases with myocardial insufficiency and useful in cases with hemodynamic compensation or with slight decompensation.

摘要

在墨西拿“圣安杰洛医院”内科的122例急性心肌梗死患者中，26%观察到室内传导阻滞。住院死亡率在右束支传导阻滞合并左束支传导阻滞、左束支传导阻滞合并双分支阻滞的病例中较高，主要是由心肌功能不全引起的。作者认为，临时电刺激在心肌功能不全的病例中无用，而在血流动力学代偿或轻度失代偿的病例中有用。

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