Incidence and Management of Supraventricular Arrhythmias After Acute Myocardial Infarction

Jewitt, D. E.; Balcon, Raphael; Raftery, E. B.; Oram, Samuel

doi:10.1016/s0140-6736(67)91943-5

Cited by 70 publications

(11 citation statements)

References 13 publications

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“…record or regular sampling, does not reveal the true incidence of dysrhythmias in the post-infarction period. The incidence noted is similar to that found in other units (Jewitt et al, 1967;Lawrie et al, 1967;Pentecost and Mayne, 1968), and our experience in this matter requires no further elaboration.…”

Section: Discussionsupporting

confidence: 90%

Cardiac Monitoring in a Regional Hospital

Aber¹,

Portal²,

Chopra³

1969

BMJ

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209it is at present developed upon which the scientific study of psychiatry rests. This must cover the phenomenological, psychological, biological, and sociological aspects of the subject, and the student's involvement would seem best insured by seminar teaching rather than by formal lectures. The student becomes familiar with the methods of inquiry in these several subjects, has a considerable amount of established knowledge to acquire, but even in a three-year period with so much to cover such courses cannot be expected to be both comprehensive and developed in depth. It will always be the student's own responsibility to select from the great range of available subjects a topic which he can pursue in depth if he wishes to do so. To help him in this a tutor selected from among his senior clinical teachers may prove invaluable.Three types of achievement involving different skills, promoted by different motivations and dependent upon different human qualities, are now demanded of the psychiatrist elite. He is at once expected to be a scholar, a scientist, and a clinician. In the end he will be found to be predominantly excellent in one of these, not in all three. The scholar tends to be inhibited by the burden of his own knowledge and rarely has the freedom of mind the creative scientist requires. As clinician the scholar all too often lacks those human qualities without which the arduous life of dedication to patients is unattractive. The clinical scientist, however, pursues scholarship only within the field of his own interest and narrows the range of his clinical vision to the problems which as a scientist he is driven to explore. Too often he becomes a prisoner to his own techniques. The clinician, however, in daily and continuous contact with the whole range of illness, deviation, and disability, is primarily motivated not towards scholarship or to scientific inquiry for its own sake but to treatment and the alleviation of suffering. There is the ever-present danger that disregarding the insights and understanding which scholarship can provide, and the sense of criticism and scepticism which a scientific frame of mind can give, the clinician will degenerate into a technician, and in our present era a mere empiricist, purveying the products which our advanced pharmaceutical industries continue to develop and provide. The best hope for the avoidance of these dangers lies, in my opinion, in the intelligent and inspired partnership of university departments of psychiatry with those whose business it is to treat patients as they actually present in our society.

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Section: Discussionsupporting

confidence: 90%

Cardiac Monitoring in a Regional Hospital

Aber¹,

Portal²,

Chopra³

1969

BMJ

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“…Death and resuscitation rates ( Table 2) The percentages of both are close to those in earlier reports from this country (Lawrie et al, 1967;Jewitt et al, 1967;Thomas, Jewitt & Shillingford, 1968;Pentecost & Mayne, 1968). Routine use was made of the usual recommended prophylactic and therapeutic measures for arrhythmias (Thomas & Woodgate, 1966;Lown et al, 1967;Thomas et al, 1968).…”

Section: Recent Myocardial Infarctionsupporting

confidence: 86%

Experiences of intensive coronary care in a regional hospital

McAllen

1971

Postgraduate Medical Journal

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“…Sustained VT occurred in 6–31% of patients in these early cohorts, 2,4,6–8 while VF occurred in 4–20% of patients. 2–7 Our rates of these life-threatening arrhythmias are also better than rates in contemporary cohorts: 4.3%–10.2% for VT/ventricular fibrillation combined, 12,14,20 2.6%–6% for VT 21–23 and 3.5–5.4% for ventricular fibrillation.…”

Section: Discussionmentioning

confidence: 81%

Arrhythmias in patients with acute coronary syndrome in the first 24 hours of hospitalization

et al. 2013

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Objectives In patients with acute coronary syndrome (ACS), we sought to: 1) describe arrhythmias during hospitalization, 2) explore the association between arrhythmias and patient outcomes, and 3) explore predictors of the occurrence of arrhythmias. Methods In a prospective sub-study of the IMMEDIATE AIM study, we analyzed electrocardiographic (ECG) data from 278 patients with ACS. On emergency department admission, a Holter recorder was attached for continuous 12-lead ECG monitoring. Results Approximately 22% of patients had more than 50 premature ventricular contractions (PVCs) per hour. Non-sustained ventricular tachycardia (VT) occurred in 15% of patients. Very few patients (≤1%) had a malignant arrhythmia (sustained VT, asystole, torsade de pointes, or ventricular fibrillation). Only more than 50 PVCs/hour independently predicted an increased length of stay (p<.0001). No arrhythmias predicted mortality. Age greater than 65 years and a final diagnosis of acute myocardial infarction independently predicted more than 50 PVCs per hour (p=.0004). Conclusions Patients with ACS seem to have fewer serious arrhythmias today, which may have implications for the appropriate use of continuous ECG monitoring.

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Incidence and Management of Supraventricular Arrhythmias After Acute Myocardial Infarction

Cited by 70 publications

References 13 publications

Cardiac Monitoring in a Regional Hospital

Cardiac Monitoring in a Regional Hospital

Experiences of intensive coronary care in a regional hospital

Arrhythmias in patients with acute coronary syndrome in the first 24 hours of hospitalization

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