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[Our experience in using temporary and permanent electric stimulation in conduction disorders].
Vutreshni Bolesti
|January 1, 1975
Summary
This study on AV block patients found most required permanent pacemakers. Myocardial health significantly impacts prognosis after pacemaker implantation, highlighting the need for proactive patient management.
Area of Science:
- Cardiology
- Electrophysiology
Context:
- Observational study of 49 patients with complete and incomplete Atrioventricular (AV) block.
- 33 patients experienced Malignant Arrhythmia Crisis (MAC) syndrome, including asystole, ventricular tachycardia, and ventricular fibrillation.
Purpose:
- To report outcomes of temporary and permanent electrical stimulation in AV block patients.
- To evaluate factors influencing prognosis in patients with implanted pacemakers.
Summary:
- Temporary electrical stimulation was used in 31 patients, with 21 having chronic complete AV block and 10 having incomplete/complete AV block with recent cardiac infarction.
- One patient with chronic AV block did not require a permanent pacemaker; all others did.
- Prognosis for patients with permanent pacemakers depends on myocardial status; 3 of 6 with cardiac insufficiency died within 12 months.
Impact:
- Recommends active identification and monitoring of patients with conduction disturbances.
- Advocates for increased use of temporary electrical stimulation in intensive care and treatment settings.