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Benefit of Pacing and Beta‐Blockers in Idiopathic Repetitive Polymorphic Ventricular Tachycardia
Author(s) -
PÉREZCASTELLANO NICASIO,
RODRÍGUEZ JUAN C.,
MEDINA OLGA,
NIETO VICENTE
Publication year - 2001
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1046/j.1540-8167.2001.01304.x
Subject(s) - medicine , verapamil , cardiology , ventricular tachycardia , tachycardia , refractory (planetary science) , beta (programming language) , heart rate , anesthesia , blood pressure , physics , astrobiology , computer science , programming language , calcium
Pacing and Beta‐Blockers in Repetitive Polymorphic VT. An 18‐year‐old woman presented with recurrent exercise‐induced syncopal episodes and severe systolic dysfunction. ECG monitoring disclosed repetitive polymorphic ventricular complexes, paroxysms of bidirectional ventricular tachycardia, and nonsustained bursts of slow polymorphic ventricular tachycardia that increased in length and rate during exercise. Ventricular arrhythmias were refractory to medical treatment, which included verapamil and beta‐blockers. Addition of permanent atrial pacing to beta‐blocker therapy suppressed the arrhythmias and reversed systolic impairment in the following months.