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Chest Thump and Ventricular Tachycardia
Author(s) -
MORGERA T.,
BALDI N.,
CHERSEVANI D.,
MEDUGNO G.,
CAMERINI F.
Publication year - 1979
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1979.tb05178.x
Subject(s) - medicine , cardiology , ventricular fibrillation , asystole , ventricular tachycardia , normal sinus rhythm , sinus rhythm , anesthesia , atrial fibrillation
Chest thump is a simple method of trrciimunt of some paroxysmal arrhythmias. Its therapeutic efficacy, electrophysiological bases and clinical utility have been studied in 17 patients during 45 episodes of ventricular tachycardia (VT). Thumping the precor‐dium interrupted the VT in 22 episodes. Three types of interruption of VT huvr been observed: (1) In 15 episodes, single ventricular premature beats induced by the Mow, occurring randomly in the cycle, stopped the arrhylhmia; (2) In episodes, a run of premature beats, induced by a rapid succession of blows, interrupted the tachycardia; (3) In 2 episodes, chest thump caused a short period of asystole followed by sinus rhythm. Chest thump is an antiarrhythmic treatment of definite clinical utility. The complications are rare, although (here is a possibility of ventricular fibrillation. Therefore, it should be performed only under careful supervision.