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Cardiovascular Review 1982 by Gerald C. Timmis

By Gerald C. Timmis

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Sample text

Their effects are similar to those of potassium excess (Modern Concepts Cardiovasc Dis 48[9]:49, 79). CONDUCTION DEFECTS. 0 ATRIOVENTRICULAR BLOCK (AVB): Some degree of AVB occurs in 11% to 33% of patients with acute MI especially if postero-inferior in location (Circ 45:703, 72). 1% (Circ 27:1034, 63; Br Heart J 31:352, 69; AHJ 78:460, 69; AJC 26:380, 70). 5% to 10% (AJC 17:695, 66; Br Heart J 31:352, 69). Some studies have failed to identify a significant effect on mortality in the absence ISCHEMIC HEART DISEASE of other complicating factors such as ventricular impairment or CHF (AHJ 55:215, 58).

DIAGNOSIS: The early (Bruce stage I) appearance of deep (2 mm or more) ST segment depression persisting well into the recovery period (6 to 8 minutes after exercise) and/or exercise induced hypotension all suggest LMC disease (Circ 52:28, 75; Pract Cardiol 4[9]:113, 78; J Cardiovasc Med 4:136, 79; AJC 46:21, 80). These observations coupled with the identifica­ tion of an ST segment shift in 5 leads is highly predictive (74%) and reasonably sensitive (49%) of either LMC or at least 3-vessel disease.

A subscript for F is the average hourly PVC frequency adjusted for noise. They replaced Lown grades 3, 4A, 4B, and 5 with Μ (multiform), Ρ (pairs), V (ventricular tachycardia), and R (R on T ) , respectively. Superscripts for the latter identify all hours in which that particular characteristic occurred. The subscript for Μ is the number of different PVC configurations and the subscripts for P, V, and R identify the number of these events in the entire DCG. A second subscript to R gives the shortest R-V/Q-T interval in the entire DCG.

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