ARTIFICIAL PACING IN MANAGEMENT OF COMPLETE HEART BLOCK COMPLICATING ACUTE MYOCARDIAL INFARCTION

ARTIFICIAL PACING IN MANAGEMENT OF COMPLETE HEART BLOCK COMPLICATING ACUTE MYOCARDIAL INFARCTION
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DOI:
10.1136/bmj.2.5598.142
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发表时间:
1968-01-01
影响因子:
--
通讯作者:
JULIAN, DG
JULIAN, DG
中科院分区:
医学1区
文献类型:
--
作者:
LASSERS, BW;JULIAN, DG

文献摘要

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方法爱丁堡皇家医院的冠状动脉监护室及其监测系统已在其他地方描述过(Lawrie et al., 1967)。最初,双极起搏电极(USCI编号5651,SF大小)从枕前静脉插入,但经皮锁骨上锁骨下静脉路径被证明优越,随后使用。经皮经胸电极(Elecathl)在没有足够时间引入经静脉电极的患者中直接插入心脏。起初,患者被转移到心脏实验室,在透视控制下插入电极,但后来设计了一种便携式图像增强器(Cardiovision2)用于冠状动脉
MethodsThe coronary care unit of the Royal Infirmary, Edinburgh, and its system of monitoring have been described elsewhere (Lawrie et al., 1967). Initially bipolar pacing electrodes (USCI No. 5651, size SF) were inserted from an antecubital vein, but the percutaneous supraclavicular subclavian vein route proved superior and was subsequently used. Percutan-eous transthoracic electrodes (Elecathl) were inserted direct into the heart in patients in whom there was inadequate time for introduction of transvenous electrodes. At first patients were transferred to the cardiac laboratory for insertion of electrodes under fluoroscopic control, but later a portable image intensifier (Cardiovision2) was designed for use in the coronary