Treatment of Myocardial Infarction in a Community Hospital Coronary Care Unit

Mirowski, M.; Israel, Warren; Antonopoulos, A. G.; Mower, Morton M.; Mendeloff, Albert I.

doi:10.1001/archinte.1978.03630260024011

Cited by 14 publications

(1 citation statement)

References 24 publications

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“…When a patient develops VF the chances of successful electric shock treatment depend mainly upon whether or not left ventricular failure co-exists, as shown in Table 1, and as has been noted by others [11,14,17,20,22,23,26,27,32]. Episodes of VF unaccompanied by left ventricular failure are termed "primary" events, to distinguish them from episodes associated with left ventricular failure to which the term "complicating" has been applied [27].…”

Section: Discussionmentioning

confidence: 99%

Management of Ventricular Fibrillation during Acute Myocardial Infarction

Northover¹

1984

Methods Inf Med

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SummaryAnalysis of electrocardiograms tape-recorded from patients admitted to hospital with acute myocardial infarction revealed that the pattern of ventricular extrasystolic activity was not significantly different among those who subsequently developed ventricular fibrillation and those who did not. Episodes of ventricular fibrillation occurred predominantly within 4 hours from the start of infarction. Patients were 3 times less likely to survive an episode of ventricular fibrillation if they also had left ventricular failure than if this feature was absent. Management of episodes of ventricular fibrillation was compared in patients before and after the creation of a specially staffed and equipped coronary care unit. The success of electric shock as a treatment for ventricular fibrillation was similar before and after the creation of the coronary care unit. An attempt was made to determine which features in the management of ventricular fibrillation in this and in previously published series were associated with patient survival.

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