Successful External Cardiac Resuscitation in Myocardial Infarction FREE

Louis Gillespie, Jr., MD; J. Lawn Thompson, MD

[+] Author Affiliations

Washington, D.C.

From the Department of Medicine, Georgetown University Hospital. Dr. Gillespie is a trainee of the National Heart Institute.

JAMA. 1963;185(1):44-47. doi:10.1001/jama.1963.03060010070016

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ABSTRACT

ABSTRACT | REFERENCES

IT HAS BEEN estimated that 10% of the patients sustaining acute myocardial infarction will develop sudden cessation of the circulation due to asystole or ventricular fibrillation.¹ The incidence of this complication is far greater when myocardial infarction occurs in the younger age group.² Thoracotomy and internal cardiac massage has been, until recently, the only method available for resuscitation of the circulation. This procedure has been rewarding on many occasions when cardiac arrest has occurred during surgery, but attempts to apply this technique to the cardiac arrest of acute myocardial infarction have met with much less success. Since 1947, when Beck and others first applied openchest resuscitation and defibrillation to the human heart,³ only nine cases of successful cardiac resuscitation in myocardial infarction by this method have been reported.⁴ The paucity of good results may be ascribed to the less adaptable environment of the medical ward, the

REFERENCES

ABSTRACT | REFERENCES

Wood, P.: Diseases of Heart and Circulation , Philadelphia: J.B. Lippincott Co., 1956;, p 739.

Yater, W.M., et al: Coronary Artery Disease in Men Eighteen to Thirty-Nine Years of Age , Amer Heart J 36:334, 481, 683, 1948;.

Beck, C.S.; Pritchard, W.H.; and Feil, H.S.: Ventricular Fibrillation of Long Duration Abolished by Electric Shock , JAMA 135:985, 1947;.

Rolett, E.L.: Resuscitation from Ventricular Fibrillation Complicating Acute Coronary Occlusion , Amer J Cardiol 7:724, 1961;.

Zoll, P.M., et al: Termination of Ventricular Fibrillation in Man by Externally Applied Electrical Countershock , New Eng J Med 254:727, 1956;.

Kouwenhoven, W.B.; Jude, J.R.; and Knickerbocker, G.G.: Closed Chest Cardiac Massage , JAMA 173:1064, 1960;.

Jude, J.R.; Kouwenhoven, W.B.; and Knickerbocker, G.G.: Cardiac Arrest , JAMA 178:1063, 1961;.

Thal, F.J., et al: Closed Chest Cardiac Resuscitation in Acute Myocardial Infarction , Amer J Cardiol 7:731, 1961;.

Sodi-Pallares, D., et al: Effects of Intravenous Infusion of Potassium-Glucose-Insulin Solution on the Electrocardiographic Signs of Myocardial Infarction , Amer J Cardiol 9:166, 1962;.

Bettinger, J.E., et al: Effect of Intravenous Administration of Potassium Chloride on Ectopic Rhythms, Ectopic Beats, and Disturbances in A-V Conduction , Amer J Med 21:521, 1956;.

Weinstock, L., and Clark, J.H.: Successful Treatment of Ventricular Fibrillation with Intracardiac Potassium Chloride , Amer J Cardiol 7:742, 1961;.

Blackmon, J.R., et al: Effect of Digitalis Glycosides on Myocardial Sodium and Potassium Balance , Circ Res 8:1003, 1960;.

Baringer, J.R., et al: External Cardiac Massage , New Eng J Med 265:62, 1961;.

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