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(Chest. 1969;56:470-476.)
© 1969 American College of Chest Physicians

Mechanisms of Slow Ventricular Tachycardias in Acute Myocardial Infarction

Agustin Castellanos Jr. M.D.1; Louis Lemberg M.D., F.C.C.P.1; and Azucena G. Arcebal M.D.1

1 Section of Cardiology, Department of Medicine, University of Miami School of Medicine, The Division of Electrophysiology, Jackson Memorial Hospital and the Veterans Administration Hospital, Miami, Florida

Unifocal ventricular rhythms with rates between 60 and 100 per minute were classified as slow ventricular tachycardias when occurring in patients with acute myocardial infarction. Analysis of selected electrocardiograms showed that the paroxysms were usually automatic, nonparasystolic and intermittent. However, in one case, the arrhythmia resulted from the exit block of a faster, parasystolic, ventricular tachycardia. The first ectopic beat in each series appeared either as an escape or as a late extrasystole. Variations in rate attributed to a disturbance of automaticity and/or conductivity were frequently observed. The erratic and unpredictable behavior of this arrhythmia probably reflected the unstable condition of the injured cells during the early stages of myocardial infarction.







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Copyright © 1969 by the American College of Chest Physicians.