Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Significance of temporary pacemakers insertion in patients with acute myocardial infarction
Autore:
Moreno, AM; Tomas, JG; Alberola, AG; Sanchez, JG; Hernandez, JM; Fernandez, SR; Katnich, LO; Paya, JFM;
Indirizzi:
Hosp Univ Virgen de la Arrixaca, Unidad Coronaria, Serv Med Intensiva, Murcia 30120, Spain Hosp Univ Virgen de la Arrixaca Murcia Spain 30120 , Murcia 30120, Spain Hosp Santa Maria del Rosell, Unidad Coronaria, Serv Med Intensiva, Cartagena, Spain Hosp Santa Maria del Rosell Cartagena Spain Intensiva, Cartagena, Spain Hosp Gen Univ, Serv Cardiol, Murcia, Spain Hosp Gen Univ Murcia SpainHosp Gen Univ, Serv Cardiol, Murcia, Spain
Titolo Testata:
REVISTA ESPANOLA DE CARDIOLOGIA
fascicolo: 8, volume: 54, anno: 2001,
pagine: 949 - 957
SICI:
0300-8932(200108)54:8<949:SOTPII>2.0.ZU;2-K
Fonte:
ISI
Lingua:
SPA
Soggetto:
BUNDLE-BRANCH BLOCK; PRACTICE GUIDELINES COMMITTEE; ASSOCIATION TASK-FORCE; ATRIOVENTRICULAR-BLOCK; PROGNOSTIC-SIGNIFICANCE; THROMBOLYTIC THERAPY; OF-CARDIOLOGY; HEART-BLOCK; CLINICAL CHARACTERISTICS; ACC/AHA GUIDELINES;
Keywords:
pacemakers; myocardial infarction; prognosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Tomas, JG Hosp Univ Virgen de la Arrixaca, Unidad Coronaria, Serv Med Intensiva, Ctra Cartagena S-N, Murcia 30120, Spain Hosp Univ Virgen de la Arrixaca Ctra Cartagena S-N Murcia Spain 30120
Citazione:
A.M. Moreno et al., "Significance of temporary pacemakers insertion in patients with acute myocardial infarction", REV ESP CAR, 54(8), 2001, pp. 949-957

Abstract

Objective. Indication of temporary pacemakers in patients during acute myocardial infarction was widely studied in the pre-thrombolytic era without having determined whether the generalization of fibrinolysis might have changed the overall incidence and significance of temporary. pacemakers. Our aim was to determine the incidence and the prognostic significance of insertion of temporary pacemakers in patients with acute myocardial infarction. Patients and methods. In a study involving 1,239 patients consecutively admitted to hospital with acute myocardial infarction we studied clinical characteristics and prognosis depending on temporary pacemaker insertion or not. We performed an univariate analysis on in-hospital mortality and those selected variables were introduced in to a logistic regression analysis. Results. A temporary pacemaker was indicated in 55 patients (4.4%), prophylactically in 22% and therapeutically in 78%. Temporary pacemakers were inserted in 55% of the patients with advanced AV block and in the 10% of the patients with bundle-branch block. Pacemaker insertion was associated with higher number of affected leads in the ECG, and higher CK peak, regardless of the association with thrombolysis. The following complications were more often observed in patients with temporary pacemakers: atrial fibrillation, heart failure, right bundle-branch block, advanced atrioventricular block and in-hospital mortality (45.4 vs 10.2%; p < 0.001). Need for a temporay pacemaker was less frequent in patients treated with thrombolytics; compared with those not treated (3.0 vs 6.1%; p < 0.02). Pacemaker insertion had an independent value for predicting in-hospital mortality (OR 5.51; 95% Cl, 2.71-11.19). Conclusion. The insertion of a temporary pacemaker in acute myocardial infarction is less frequent nowdays than on the pre-thrombolytic era. Pacemaker insertion is associated with higher indices of infarct extension and in-hospital mortality, having independent prognostic value on the in-hospital mortality.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/03/20 alle ore 19:46:10