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Pathogenesis of arrhythmias in acute myocardial infarction

Authors
Journal
The American Journal of Cardiology
0002-9149
Publisher
Elsevier
Publication Date
Volume
24
Issue
6
Identifiers
DOI: 10.1016/0002-9149(69)90468-8

Abstract

Abstract The pathogenesis of cardiac arrhythmias in the pre-hospital phase of acute myocardial infarction is considered in the framework of four arbitrary divisions of the conduction system: the sinus node, the internodal and interatrial pathways, the atrioventricular (A-V) nodes and the His bundle with its proximal branches. Under each heading the elements of pathogenesis are discussed relative to local anatomy, vascular supply, neural control and blood-borne factors. These divisions are made purely for the sake of discussion; an accurate assessment of their varying presence and interplay in the individual patient is the challenging responsibility of the physician who deals with the problem of arrhythmias in acute myocardial infarction.

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