Complete Heart Block Complicating Acute Myocardial Infarction

Gupta, M. C.; Singh, M. M.; Wahal, P. K.; Mehrotra, M. P.; Gupta, S. K.
October 1978
Angiology;Oct1978, Vol. 29 Issue 10, p749
Academic Journal
Complete heart block (CHB) developed in 10.3% of patients with acute myocardial infarction (MI). It was more frequent among patients with inferior myocardial infarction compared to anterior myocardial infarction, but the mortality was significantly high among patients with anterior MI who developed CHB. A new classification into primary (P) and secondary (S) CHB is suggested by the sequence of events. The incidence and mortality of SCHB was significantly high when compared to the incidence and mortality of PCHB. Wide QRS complexes, a heart rate of less than 60/min, and syncopal attacks were the grave prognostic signs. Progression from a lesser degree of AV block and regression of CHB to a lesser degree of AV Block were both observed in 25.8% cases. Circulatory failure in the form of shock, hypotension, congestive heart failure, and left ventricular failure, alone or in combination was a factor in 17 of the 22 patients who died. Four of 5 patients who underwent transvenous pacing also died.


Related Articles

  • Avandia: further evidence of increased cardiovascular risk.  // Heart;Apr2008, Vol. 94 Issue 4, p535 

    The article presents a study on rosiglitazone, which suggests that rosiglitazone might be connected with an increased rate of acute myocardial infarction and moratlity. It states that the increased risk of congestive heart failure, acute myocardial infarction and death associated with...

  • Postoperative clopidogrel improves mid-term outcome after off-pump coronary artery bypass graft surgery: a prospective study Gurbuz, Ahmet Tayfun; Zia, Ayhan A.; Vuran, Ali Can; Cui, Haiyan; Aytac, Aydin // European Journal of Cardio-Thoracic Surgery;Feb2006, Vol. 29 Issue 2, p190 

    Abstract: Objective: Clopidogrel decreases recurrent ischemic events and improves intracoronary stent patency. There are scarce data on the effect of short-term and long-term clopidogrel on symptom recurrence and adverse cardiac events following off-pump coronary artery bypass graft surgery...

  • Depression and prognosis following hospital admission because of acute myocardial infarction. Lauzon, Claude; Beck, Christine A.; Huynh, Thao; Dion, Danielle; Racine, Normand; Carignan, Suzanne; Diodati, Jean G.; Charbonneau, François; Dupuis, Robert; Pilote, Louise // CMAJ: Canadian Medical Association Journal;3/4/2003, Vol. 168 Issue 5, p547 

    BACKGROUND: Whether there is an association between depression at the time of acute myocardial infarction and subsequent risk of cardias complications and death remains controversial. Most studies of this risk factor have been limited to patients of single institutions, and this might account...

  • From early to late ventricular remodeling after myocardial infarction: the role of echocardiographic assessment in surgical decisions. Cerin, Gheorghe; Florescu, Maria; Benea, Diana; Diena, Marco; Vinereanu, Dragos; Cinteza, Mircea // Maedica - a Journal of Clinical Medicine;2008, Vol. 3 Issue 2, p107 

    Left ventricular (LV) remodeling following a myocardial infarction (MI) is a pathologically process of change in size, shape and volumes, wall thickness and function of the heart. Remodeling changes begin in the acute period of MI and tend to continue long after that, leading to LV dysfunction...

  • Heart Failure in Older People. Thomas, Sabu; Rich, Michael W. // Generations;Fall2006, Vol. 30 Issue 3, p25 

    The article discusses the characteristics of a heart failure among older people. It is a chronic condition distinguished by the inability of the heart to pump sufficient supply of blood to meet the body's needs. It is usually the end result of injury to the heart muscle caused by myocardial...

  • Long term risk stratification of patients with acute coronary syndromes: characteristics of troponin I testing and continuous ST segment monitoring. Nørgaard, B. L.; Andersen, K.; Thygesen, K.; Ravkilde, J.; Abrahamsson, P.; Grip, L.; Dellborg, M. // Heart;Jul2004, Vol. 90 Issue 7, p739 

    Objective: To examine the tong term prognostic characteristics of troponin T testing and continuous multi-lead ST segment monitoring in combination with clinical and 12 lead ECG risk indicators in patients with acute coronary syndromes (ACS). Patients and design: Patients with suspected ACS (n =...

  • AMIODARONE AND MORTALITY IN CHF AND POST-MI. Zamorski, Mark // Journal of Family Practice;Mar1998, Vol. 46 Issue 3, p196 

    This article focuses on a research related to the effect of prophylactic amiodarone on mortality after acute myocardial infarction (AMI) and in congestive heart failure (CHF). Sudden cardiac death is a common cause of death following AMI and in CHF. The infamous Cardiac Arrhythmia Suppression...

  • The Association Between Clinical Pathways and Hospital Length of Stay: A Case Study. Keon-Hyung Lee; Anderson, Yvonne // Journal of Medical Systems;Feb2007, Vol. 31 Issue 1, p79 

    Clinical pathways are the treatment protocol in order to reduce or eliminate variation of care by specifying to nursing and medical staff. The effectiveness of the clinical pathways to accomplish this goal, however, is in question. With the implementation of the clinical pathways in 2001, this...

  • Elderly Nursing Home Patients With Congestive Heart Failure After Myocardial Infarction Living in New York City Have a Higher Prevalence of Mortality in Cold Weather and Warm Weather Months. Aronow, Wilbert S.; Ahn, Chul // Journals of Gerontology Series A: Biological Sciences & Medical ;Feb2004, Vol. 59 Issue 2, p146 

    Background. Some studies have found an increase in cardiac events in the winter months. Other studies, from cities in the southern half of the United States, have shown an increase in cardiac events during the summer months. Methods. We investigated in a prospective study of 517 patients, mean...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics