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Hemodynamic benefit of atrial-pacing in right ventricular myocardial-infarction

Academic Article
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Overview

authors

  • Topol, Eric
  • Goldschlager, N.
  • Ports, T. A.
  • Dicarlo, L. A.
  • Schiller, N. B.
  • Botvinick, E. H.
  • Chatterjee, K.

publication date

  • 1982

journal

  • Annals of Internal Medicine  Journal

abstract

  • Right ventricular and inferior-posterior myocardial infarctions in four patients were complicated by low-output syndrome unresponsive to increasing intravascular volume. Ventricular pacing was started because of bradyarrhythmias, but failed to increase cardiac output; atrial pacing at identical rates resulted in dramatic increases in cardiac output. The importance of atrial contribution to ventricular function, as well as the role of the pericardium in this clinical setting, are discussed. In treating right ventricular myocardial infarction, atrial or atrioventricular sequential cardiac pacing may be preferable to ventricular pacing.

subject areas

  • Aged
  • Cardiac Pacing, Artificial
  • Female
  • Heart Atria
  • Heart Ventricles
  • Hemodynamics
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction
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Identity

International Standard Serial Number (ISSN)

  • 0003-4819

PubMed ID

  • 7073152
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Additional Document Info

start page

  • 594

end page

  • 597

volume

  • 96

issue

  • 5

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