Cardiopulmonary Critical Care by Higgins, T. L.

By Higgins, T. L.

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Example text

Atrial or ventricular overdrive pacing for incessant ventricular tachycardia Class IIB 1. Bradycardia owing to conduction system disease (permanent pacing not immediately available) A. Asymptomatic complete heart block B. Asymptomatic type II second­degree AV block 2. Acute myocardial infarction A. Bradycardia with acute inferior infarction responding to atropine B. Left bundle branch block with first­degree heart block of unknown duration C. Bifascicular block of unknown duration 3. Procedures associated with important bradycardia A.

Sinus bradycardia with hypotension, unresponsive to atropine E. Recurrent sinus pauses unresponsive to atropine F. Atrial or ventricular overdrive pacing for incessant ventricular tachycardia Class IIB 1. Bradycardia owing to conduction system disease (permanent pacing not immediately available) A. Asymptomatic complete heart block B. Asymptomatic type II second­degree AV block 2. Acute myocardial infarction A. Bradycardia with acute inferior infarction responding to atropine B. Left bundle branch block with first­degree heart block of unknown duration C.

4. Overdrive suppression of tachyarrhythmias A. Symptomatic recurrent ventricular tachycardia refractory to drug therapy B. Symptomatic recurrent supraventricular tachycardia refractory to drug therapy General anesthesia with complete heart block or Type II second­degree AV block Class II—acceptable, of uncertain efficacy, may be controversial A. Weight of evidence in favor of usefulness B. Not well­established evidence, possibly helpful but not harmful Class IIA 1. Acute myocardial infarction A.

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