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. 1972 Jul 8;3(5818):89–92. doi: 10.1136/bmj.3.5818.89

Autonomic Disturbance at Onset of Acute Myocardial Infarction

S W Webb, A A J Adgey, J F Pantridge
PMCID: PMC1785615  PMID: 4402759

Abstract

Of 74 patients seen within 30 minutes of the onset of acute myocardial infarction 68 (92%) had signs of autonomic imbalance. Excessive vagal activity was evident in 41 (55%) and there was sympathetic overactivity in 27 (36%). The high incidence of sudden death in the acute phase of a coronary attack probably results from the electrical imbalance caused by autonomic disturbance. This disturbance must therefore be taken into account in any prophylactic regimen against the lethal early ventricular dysrhythmias.

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Selected References

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