September 1982

Advances in the Treatment of Life-Threatening Ventricular Rhythm Disturbances

Author Affiliations

From the Department of Medicine, Washington University School of Medicine, the Jewish Hospital of St Louis.

Arch Intern Med. 1982;142(9):1697-1701. doi:10.1001/archinte.1982.00340220119019

Rodolphe Ruffy, MD, Assistant Professor of Medicine and director of the Cardiac Electrophysiology Laboratories and Heart Station, Washington University School of Medicine, the Jewish Hospital of St Louis: The history and clinical course of the patient described herein afford excellent examples of some sorely needed recent advances in the treatment of heart disease.

The dissemination of efficient mobile resuscitation facilities that are outside the hospital, the growing success of intensive care units in sustaining lives of victims of large myocardial infarctions (MIs), and the progress of intraoperative myocardial preservation techniques that permit surgical interventions, despite the presence of advanced organic heart disease, have notably increased the number of patients at high risk of chronic, recurrent, life-threatening ventricular dysrhythmias. Patients who survive their first episode, in or out of the hospital, have an inordinately high risk of experiencing a recurrence within the first year unless vigorous efforts are made to protect

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