THROMBOLYSIS-INDUCED REGRESSION OF ATRIOVENTRICULAR-BLOCK WITHOUT INDUCTION OF THE BEZOLD-JARISCH-REFLEX IN LARGE INFERIOR WALL MYOCARDIAL-INFARCTION

It is common opinion that thrombolysis-induced reperfusion in inferior or inferoposterior wall myocardial infarction can trigger the so call ed Bezold-Jarisch reflex. In five consecutive patients with these type of acute infarction, we did not observe this reflex but instead noted prompt improvement of atrioventricular conduction. Therefore, it is l ikely that the fear of vagal stimulation and consequent bradycardia or worsened AV conduction with thrombolysis in these cases can be no lon ger sustained.