Late Ventricular Dysrhythmias after Myocardial Infarction

Serious ventricular dysrhythmias occurred in hospital after discharge from a coronary intensive care unit in 11 out of 142 patients with myocardial infarction. Previous rhythm changes, hypotension, and left ventricular failure were common findings; only one of these patients had an uneventful previo...

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Bibliographic Details
Published in:BMJ 1968-11, Vol.4 (5627), p.364-366
Main Authors: Spracklen, F. H. N., Besterman, E. M. M., Everest, M. S., Litchfield, J. W., Petrie, M.
Format: Article
Language:English
Subjects:
Adult
Aged
Arrhythmias, Cardiac - etiology
Cardiac arrest
Coronary care units
Coronary Disease - complications
Dysrhythmias
Electrocardiography
Enzymes
Female
Fibrillation
Heart Arrest - etiology
Heart Arrest - therapy
Heart Ventricles - physiopathology
Hospital units
Humans
Hypotension
Hypotension - complications
Intensive Care Units
Male
Middle Aged
Myocardial infarction
Myocardial Infarction - complications
Papers and Originals
Pentecost
Resuscitation
Tachycardia - etiology
Ventricular Fibrillation
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Summary:Serious ventricular dysrhythmias occurred in hospital after discharge from a coronary intensive care unit in 11 out of 142 patients with myocardial infarction. Previous rhythm changes, hypotension, and left ventricular failure were common findings; only one of these patients had an uneventful previous course. Four patients were resuscitated and left hospital; six were resuscitated but died at varying periods up to eight days after the event; one patient could not be resuscitated. Recent coronary occlusion or further myocardial infarction was demonstrated in 7 of these 11 patients and presumably accounted for the dysrhythmia.
ISSN:0007-1447
0959-8138
1468-5833
DOI:10.1136/bmj.4.5627.364