Autonomic Changes during the Acute Phase of Acute Myocardial Infarction and Ischemia

  • Ronald G. Victor
Chapter
Part of the Acute Coronary Care Updates book series (ACCU, volume 1)

Abstract

Most deaths from acute myocardial infarction occur within one hour of the onset of symptoms (1–3). There is now substantial evidence that the autonomic nervous system plays a major role in the high mortality during the acute phase of myocardial infarction (4–6). For example, sympathetic neural activation can precipitate sudden death in the early stage of myocardial infarction by decreasing the threshold for ventricular fibrillation (7,8). In addition to ventricular arrhythmias, profound changes in peripheral vascular resistance and ventricular performance can be triggered by autonomic influences during coronary occlusion (9).

Keywords

Acute Myocardial Infarction Cardiogenic Shock Coronary Occlusion Arterial Baroreflex Autonomic Change 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Copyright information

© Martinus Nijhoff Publishing, Boston 1985

Authors and Affiliations

  • Ronald G. Victor
    • 1
  1. 1.Department of Internal Medicine, Cardiovascular DivisionUniversity of Iowa College of MedicineIowa CityUSA

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