The authors analyse the indications for electric stimulation of the heart in disorders of atrioventricular conduction on the basis of personal experience (1000 odd electric stimulations). Two main factors, the frequency and severity of Morgangni-Adams-Stokes attacks and the state of hemodynamics, should be taken into account when the indications for electric cardiac stimulation are considered. In choosing the therapeutical measures and methods, due consideration should also be given to the etiology of the block. Morgagni-Adams-Stokes attacks are an absolute indication for permanent electric stimulation. The authors believe that as a method for the management of atrioventricular block electric stimulation of the heart has no absolute contraindications.
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