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The Relationship Between Epicardial Burns and Late Mortality

ALLAN B. KORTZ, M.D.; HENRY SWAN, M.D.

AMA Arch Surg. 1957;74(6):911-917.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Ventricular fibrillation was described by Ludwig and Hoffa in 1849,¹ and evidence was offered at the beginning of our current century that successful defibrillation could be achieved chemically or electrically.²

The production of cardiac asystole following the coronary perfusion of potassium ions and the reconstitution of a normal vigorous rhythm with calcium has been well described in both normothermic and hypothermic preparations.^2-4 There has been a lack of universal acceptance of this method of defibrillation among cardiac surgeons, largely because ventricular fibrillation tends to recur following the coronary perfusion of calcium.

Electrical shock, conversely, enjoys considerable popularity as the means of reverting ventricular fibrillation to a normal sinus rhythm. The precise manner of application has undergone constant constructive revision.

Our own specific interest in this subject evolved from recent attempts to prevent ventricular fibrillation during open cardiotomy with use of hypothermia. In these studies it became evident . . . [Full Text PDF of this Article]

Author Affiliations
Denver

From the Halsted Experimental Laboratory, Department of Surgery, University of Colorado School of Medicine.

Footnotes
This study was supported by a grant-in-aid from the American Heart Association.

Read at the 64th Annual Meeting of the Western Surgical Association, Cincinnati, Dec. 1, 1956.

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