Autonomic Disturbance at Onset of Acute Myocardial Infarction
- 8 July 1972
- Vol. 3 (5818) , 89-92
- https://doi.org/10.1136/bmj.3.5818.89
Abstract
Of 74 patients seen within 30 minutes of the onset of acute myocardial infarction 68 (92%) had signs of autonomic imbalance. Excessive vagal activity was evident in 41 (55%) and there was sympathetic overactivity in 27 (36%). The high incidence of sudden death in the acute phase of a coronary attack probably results from the electrical imbalance caused by autonomic disturbance. This disturbance must therefore be taken into account in any prophylactic regimen against the lethal early ventricular dysrhythmias.Keywords
This publication has 20 references indexed in Scilit:
- Prehospital Care of Acute Myocardial InfarctionCirculation, 1972
- ACUTE PHASE OF MYOCARDIAL INFARCTIONThe Lancet, 1971
- Pressor Reflexes Produced by Stimulation of Afferent Fibers in the Cardiac Sympathetic Nerves of the CatCirculation Research, 1971
- Factors Influencing Infarct Size Following Experimental Coronary Artery OcclusionsCirculation, 1971
- Autonomic control of cardiac pacemaker activity and atrioventricular transmission.Journal of Applied Physiology, 1969
- INCIDENCE, SIGNIFICANCE, AND MANAGEMENT OF EARLY BRADYARRHYTHMIA COMPLICATING ACUTE MYOCARDIAL INFARCTIONThe Lancet, 1968
- Lidocaine in acute myocardial infarctionAmerican Heart Journal, 1968
- Duration of Last Attack in 998 Fatal Cases of Coronary Artery Disease and its Relation to Possible Cardiac ResuscitationBMJ, 1968
- Temporal dispersion of recovery of excitability in atrium and ventricle as a function of heart rateAmerican Heart Journal, 1966
- Adrenergic Effects on Ventricular VulnerabilityCirculation Research, 1964