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December 20, 1958JAMA

Asystole Complicating Acute Myocardial Infarction

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Population

1 patient with advanced second degree atrioventricular block with Stokes-Adams attacks developed acutely in…

Design

Case_report

Authors

SSSylvan D. SolarzColumbia University

Discussion

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Implication

May guide acute asystole management in AMI; leaves open need for controlled trials before broader adoption.

Key Points

  • To report the successful management and survival of a patient experiencing advanced second-degree atrioventricular block and acute asystole during a myocardial infarction.
  • Treated a patient (N=1) with acute myocardial infarction who developed advanced second-degree atrioventricular block and Stokes-Adams attacks.
  • Delivered transthoracic electric stimulation using an external cardiac pacemaker alone and in combination with intravenous isoproterenol hydrochloride under continuous cardiac rhythm monitoring.
  • Transthoracic electric pacing produced effective ventricular contractions during acute asystolic arrest.
  • The combination of automatic external pacing and intravenous isoproterenol resulted in patient survival following acute infarction-induced heart block.

Structured PICO

P
Population
1 patient with advanced second degree atrioventricular block with Stokes-Adams attacks developed acutely in the course of a myocardial infarct
I
Intervention
External cardiac pacemaker and intravenous isoproterenol
O
Outcome
Survivalhard clinical

This early case report demonstrates the successful use of an external cardiac pacemaker and intravenous isoproterenol for treating asystole complicating acute myocardial infarction.

Cite This Study

Sylvan D. Solarz (1958) studied this question.

synapsesocial.com/papers/6a948159e4a5ef38ccbbe55ahttps://doi.org/10.1001/jama.1958.63000160001010
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Resuscitation of the Heart in Ventricular Standstill by External Electric Stimulation1952 · 638 citations
  2. 2Intravenous Drug Therapy of Stokes-Adams Disease1958 · 63 citations
  3. 3FURTHER OBSERVATIONS ON THE EFFECT OF DRUGS ON INDUCED CARDIAC STANDSTILL1934 · 16 citations
  4. 4SURVIVAL AFTER RECENT MYOCARDIAL INFARCTION1949 · 55 citations
  5. 5COMPLETE HEART BLOCK1944 · 115 citations