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  • Title: [Possibilities of a routine prevention of arrhythmia in the early phase of acute myocardial infarct].
    Author: Steffen V, Fiehring H, Kulick B, Schaedel H.
    Journal: Z Gesamte Inn Med; 1975 Oct 01; 30(19):193-4 concl. PubMed ID: 1202763.
    Abstract:
    The frequency of the electric heart death in the early phase of the acute myocardial infarction demands a prophylactic use of antiarrhythmic remedies. In a guarded ward for coronary diseases since 1972 all patients with a fresh myocardial infarction or suspicion of infarction were treated with a continuous intravenous lidocain drip in a dosage of 100 mg/per hour for 48 hours. In 266 patients in a certain examination period ventricular fibrillation was observed only once and ventricular tachycardias twice. In accordance with literary data the prophylatic medication of lidocain gives an effective defence against threatening disturbances of the ventricular rhythm. The indications for a passagere electrostimulation in bradycardiac disturbances of rhythm associated with acute myocardial infarction are demonstrated.
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