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, et al. Tachycardia and Death Due to an Artificial Pacemaker. Ann Intern Med. 1965;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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