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Termination of Ventricular Tachycardia by Programmed Extrastimuli from an Externally‐Activated Permanent Pacemaker
Author(s) -
LEON GREENE H.,
GROSS BRIAN W.,
PRESTON THOMAS A.,
WERNER JEFEREY A.,
KIME GENA M.,
HESSEL EUGENE A.,
WEAVER W. DOUGLAS,
DUNCAN JAMES L.
Publication year - 1982
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.1540-8159.1982.tb02250.x
Subject(s) - medicine , cardiology , ventricular tachycardia , normal sinus rhythm , tachycardia , refractory (planetary science) , sinus rhythm , anesthesia , atrial fibrillation , physics , astrobiology
Two patients with hemodynamically well‐tolerated recurrent ventricular tachycardia, drug resistani and previousiy requiring numerous external electrical cardioversions, had a permanent pacemaker implanted which could be programmed lo deliver extrastimuli to convert the ventricular tachycardia to normal sinus rhythm. The patient‐ or physician‐activated device can be programmed to induce or terminate ventricular tachycardia with extrastimuli delivered at the predetermined intervals which consistently induced or terminated the arrhythmia in the electrophysiology laboratory, allowing repeated evaluation of drug regimens. The pacemaker has reliably, painlessly, and consistently induced and terminated repeated episodes of ventricular tachycardia. This programmable pacemaker offers an alternative therapy for patients with hemodynamically weil‐tolerated refractory ventricular tachycardia. (PACE. Vol. 5, May‐June, 1982)