FR. COSTEAS, M.D.; H. MASTROYANNIS, M.D.; N. NICOLAOU, M.D.; P. ST. KATSAREAS, M.D., D. LITT.
Chronic complete heart block is compatible with life as long as a steady idioventricular rhythm continues and the beat remains above 40/min. If the pulse rate falls below 30/min or the idioventricular rhythm changes, a state of disturbance is induced (1). Treatment of the primary condition by establishment of an artificial pacemaker is indicated as soon as the Adams-Stokes syndrome appears. Justification for the implacement of an artificial pacemaker in patients without provocation of Adams-Stokes attacks has not yet been established, but in such cases progressive cardiomegaly is a possible indication for doing so (2). Other indications for the application
COSTEAS F, MASTROYANNIS H, NICOLAOU N, KATSAREAS PS. Tachycardia and Death Due to an Artificial Pacemaker. Ann Intern Med. ;63:308–312. doi: 10.7326/0003-4819-63-2-308
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Published: Ann Intern Med. 1965;63(2):308-312.
Cardiology, Rhythm Disorders and Devices.
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