ELIOT CORDAY, M.D., F.A.C.P.; HERBERT GOLD, M.D.; LAURO B. DE VERA, M.D.; JOHN H. WILLIAMS, M.D.; JOSHUA FIELDS, M.D.
This study will consider the hemodynamic disturbances of the coronary flow which occur during cardiac arrhythmias. It has been shown that fast cardiac arrhythmias can precipitate severe disturbances of the systemic circulation leading to coronary insufficiency,1-5 cerebral vascular insufficiency,6 and renal7 and hepatic necrosis.8 There have been numerous reports4, 5 of patients with abnormal cardiac rhythms complaining of precordial pain and manifesting electrocardiographic changes of myocardial ischemia which may persist for hours after the subsidence of the arrhythmia. When death occurs in these patients with manifestations of coronary insufficiency, postmortem studies often show myocardial damage, such as subendocardial necrosis and
CORDAY E, GOLD H, DE VERA LB, WILLIAMS JH, FIELDS J. EFFECT OF THE CARDIAC ARRHYTHMIAS ON THE CORONARY CIRCULATIONS12. Ann Intern Med. ;50:535–553. doi: 10.7326/0003-4819-50-3-535
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Published: Ann Intern Med. 1959;50(3):535-553.
Cardiology, Rhythm Disorders and Devices.
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