Ruda M Ia
Kardiologiia. 1980 Jan;20(1):14-22.
On the basis of the results of observation over 253 patients in whom the acute period of myocardial infarction was complicated by atrioventricular block, the author recommends the therapeutic tactics in this group of patients. It is shown that electrical stimulation is the most effective method of treatment in complete atrioventricular block. Analysis of the natural course of atrioventricular block in myocardial infarction shows that the artificial pacemaker should be implanted not earlier than 4 weeks after the development of the block, if the block does not disappear by that time. Data on the condition of circulation obtained by means of the routine physical methods of examination are the most valuable criteria in the choice of the ortimum parameters of electrical stimulation of the heart.
基于对253例心肌梗死急性期并发房室传导阻滞患者的观察结果，作者推荐了该组患者的治疗策略。结果表明，电刺激是治疗完全性房室传导阻滞最有效的方法。对心肌梗死中房室传导阻滞自然病程的分析表明，如果届时阻滞未消失，人工起搏器应在阻滞发生后不早于4周植入。通过常规体格检查方法获得的循环状况数据是选择心脏电刺激最佳参数时最有价值的标准。
