Abstract
1. 1. Clinical experience with the use of a bipolar catheter electrode pacemaker is reported in 7 patients with acute myocardial infarction complicated by Adams-Stokes attacks due to asystole or complete heart block. 2. 2. The use of a bipolar catheter electrode for 2 to 6 days resulted in spontaneous return of normal sinus rhythm in 6 patients, whereas another patient had a permanent pacemaker implanted surgically 6 weeks later. 3. 3. Mortality was reduced to 14 per cent; the one fatality occurred in the single patient who was catheterized twice, but who died unexpectedly on the thirteenth day. Survivors have returned to work after recovery from infarction. 4. 4. Problems in management, especially with unstable cardiac mechanisms and conduction during a transition period in recovery, have been cited.
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