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THE ROLE OF PERMANENT PACING AFTER ANTERIOR MYOCARDIAL INFARCTION COMPLICATED BY TRANSIENT COMPLETE ATRIOVENTRICULAR BLOCK
Author(s) -
GRIGG L.,
KERTES P.,
HUNT D.,
GOBLE A.,
PITT A.,
BOXALL J.,
HALE G.
Publication year - 1988
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1988.tb00151.x
Subject(s) - medicine , atrioventricular block , myocardial infarction , cardiology , heart block , infarction , sudden death , transvenous pacing , cardiac pacing , anesthesia , surgery , electrocardiography
A randomised study was performed to assess the influence of prophylactic permanent pacing on the incidence of late sudden death in patients surviving transient complete atrioventricular block with acute anterior myocardial infarction. Fourteen patients were studied, of whom ten died within two years, confirming the high overall late mortality in this group. The deaths included eight of the nine paced patients, of whom seven died suddenly. We conclude that prophylactic permanent pacing is not warranted in patients surviving transient complete atrioventricular block with acute anterior myocardial infarction.