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November 23, 1963, Vol 186, No. 8 >
ARTICLE | November 23, 1963

Indwelling Electronic Cardiac Pacemakers FREE

Brent M. Parker, MD; Lee C. Shine, MD; Thomas [ill], MD; Kirkley R. Williams
[+] Author Affiliations

Assistant Professor of Medicine (Dr. Parker), Professor of Thoracic Surgery (Dr. Burford), former Fellow in Cardiology (Dr. Shine), and former Fellow in Thoracic Surgery (Dr. Williams), Washington University School of Medicine.

Dr. Shine's present address is University of Kentucky, School of Medicine, Lexington.

Dr. William's present address is University of Pennsylvania, Harrison Department of Surgical Research, Philadelphia.


St. Louis


JAMA. 1963;186(8):754-758. doi:10.1001/jama.1963.03710080026005
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References

Implantable cardiac pacemakers have been inserted in 12 patients with Stokes-Adams attacks not controlled by medical therapy. The operation for insertion was well tolerated; however, three patients subsequently died, one of unrelated causes, and two of presumed arrhythmias. The nine survivors have all been greatly improved and are, in general, symptom free. Complications have included electrode failure in two patients, wound infection, diaphragmatic stimulation, and cerebrovascular accident. An electrode catheter placed in the right ventricle has been used successfully as an interim pacemaker in five of six patients. The presence of concurrent sinus and electrical pacemaking was well tolerated.

REFERENCES

1 +
The electrocardiograms shown on these pages have been accurately reconstructed for improved reproduction.
2 +
Johansson, B. W.:  Adams-Stokes Syndrome: Review and Follow-up Study of Forty-two Cases , Amer J Cardiol 8:76, 1961;.
3 +
Robbin, S. R., et al:  Adams-Stokes Syndrome: Treatment of Ventricular Asystole, Ventricular Tachycardia and Ventricular Fibrillation Associated with Complete Heart Block , Amer J Med 18:577, 1955;.
4 +
Tobian, L.:  Prevention of Stokes-Adams Seizures with Chlorothiazide , New Eng J Med 265:623, 1961;.
5 +
Zoll, P. M.:  Resuscitation of Heart in Ventricular Standstill by External Electric Stimulation , New Eng J Med 247:768, 1952;.
6 +
Lillehei, C. W., et al:  Transistor Pacemaker for Treatment of Complete Atrioventricular Dissociation , JAMA 172:2006, 1960;.
7 +
Furman, S., et al:  Use of Intracardiac Pacemaker in Control of Heart-Block , Surgery 49:98, 1961;.
8 +
Burchell, H. G.:  Hidden Hazards of Cardiac Pacemakers, Editorial , Circulation 24:161, 1961;.
9 +
Noordijk, J. A.; Oey, F. T. L.; and Tebra, W.:  Myocardial Electrodes and Danger of Ventricular Fibrillation , Lancet 1:975, 1961;.
10 +
Chardack, W. M.; Gage, A. A.; and Greatbatch, W.:  Transistorized, Self-Contained, Implantable Pacemaker for Long-Term Correction of Complete Heart Block , Surgery 48:643, 1960;.
11 +
Zoll, P. M., et al:  Long-Term Electric Stimulation of Heart for Stokes-Adams Disease , Ann Surg 154:330, 1961;.
12 +
Hunter, S. W., et al:  Bipolar Myocardial Electrode for Complete Heart Block , J Lancet 79:506-508 ( (Nov) ) 1959;.
13 +
Chardack, W. M.; Gage, A. A; and Greatbatch, W.:  Correction of Complete Heart Block by Self Contained and Subcutaneously Implanted Pacemaker: Clinical Experience with 15 Patients , J Thorac Cardiov Surg 42:814, 1961;.
14 +
Levitsky, S., et al:  Long-Term Stimulation of Heart with Radiofrequency Transmission , Surgery 52:64, 1962;.
15 +
Albert, H. M., et al:  Pacemaker Failure in Complete Heart Block , Circulation Res 10:295, 1962;.
16 +
Kantrowitz, A., et al:  Treatment of Complete Heart Block with Implanted, Controllable Pacemaker , Surg Gynec Obstet 115:415, 1962;.
17 +
Wiggers, C. J.:  Mechanism and Nature of Ventricular Fibrillation , Amer Heart J 20:399, 1940;.
18 +
Abelson, D. S., et al:  Endocardial Pacemaking and Insertion of Permanent Internal Cardiac Pacemaker: Dual Approach in Case of Repeated Cardiac Asystole , New Eng J Med 265:792, 1961;.
19 +
Nathan, D. A., et al:  Implantable Synchronous Pacemaker for Long-Term Correction of Complete Heart Block , Amer J Cardiol 11:362, 1963;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
The electrocardiograms shown on these pages have been accurately reconstructed for improved reproduction.
2 +
Johansson, B. W.:  Adams-Stokes Syndrome: Review and Follow-up Study of Forty-two Cases , Amer J Cardiol 8:76, 1961;.
3 +
Robbin, S. R., et al:  Adams-Stokes Syndrome: Treatment of Ventricular Asystole, Ventricular Tachycardia and Ventricular Fibrillation Associated with Complete Heart Block , Amer J Med 18:577, 1955;.
4 +
Tobian, L.:  Prevention of Stokes-Adams Seizures with Chlorothiazide , New Eng J Med 265:623, 1961;.
5 +
Zoll, P. M.:  Resuscitation of Heart in Ventricular Standstill by External Electric Stimulation , New Eng J Med 247:768, 1952;.
6 +
Lillehei, C. W., et al:  Transistor Pacemaker for Treatment of Complete Atrioventricular Dissociation , JAMA 172:2006, 1960;.
7 +
Furman, S., et al:  Use of Intracardiac Pacemaker in Control of Heart-Block , Surgery 49:98, 1961;.
8 +
Burchell, H. G.:  Hidden Hazards of Cardiac Pacemakers, Editorial , Circulation 24:161, 1961;.
9 +
Noordijk, J. A.; Oey, F. T. L.; and Tebra, W.:  Myocardial Electrodes and Danger of Ventricular Fibrillation , Lancet 1:975, 1961;.
10 +
Chardack, W. M.; Gage, A. A.; and Greatbatch, W.:  Transistorized, Self-Contained, Implantable Pacemaker for Long-Term Correction of Complete Heart Block , Surgery 48:643, 1960;.
11 +
Zoll, P. M., et al:  Long-Term Electric Stimulation of Heart for Stokes-Adams Disease , Ann Surg 154:330, 1961;.
12 +
Hunter, S. W., et al:  Bipolar Myocardial Electrode for Complete Heart Block , J Lancet 79:506-508 ( (Nov) ) 1959;.
13 +
Chardack, W. M.; Gage, A. A; and Greatbatch, W.:  Correction of Complete Heart Block by Self Contained and Subcutaneously Implanted Pacemaker: Clinical Experience with 15 Patients , J Thorac Cardiov Surg 42:814, 1961;.
14 +
Levitsky, S., et al:  Long-Term Stimulation of Heart with Radiofrequency Transmission , Surgery 52:64, 1962;.
15 +
Albert, H. M., et al:  Pacemaker Failure in Complete Heart Block , Circulation Res 10:295, 1962;.
16 +
Kantrowitz, A., et al:  Treatment of Complete Heart Block with Implanted, Controllable Pacemaker , Surg Gynec Obstet 115:415, 1962;.
17 +
Wiggers, C. J.:  Mechanism and Nature of Ventricular Fibrillation , Amer Heart J 20:399, 1940;.
18 +
Abelson, D. S., et al:  Endocardial Pacemaking and Insertion of Permanent Internal Cardiac Pacemaker: Dual Approach in Case of Repeated Cardiac Asystole , New Eng J Med 265:792, 1961;.
19 +
Nathan, D. A., et al:  Implantable Synchronous Pacemaker for Long-Term Correction of Complete Heart Block , Amer J Cardiol 11:362, 1963;.

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