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Termination of Ventricular Tachycardia by an Implantable Atrial Pacemaker and External Pacemaker Activator
Author(s) -
TANABE AKIHIRO,
IKEDA HIDEO,
FUJIYAMA MASUAKI,
FURUTA YOHICHIRO,
MATSUMURA JUN,
OHBAYASHI JUN,
UTSU FUMIHIKO,
TOSHIMA HIRONORI
Publication year - 1985
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.1540-8159.1985.tb05855.x
Subject(s) - medicine , cardiology , tachycardia , ventricular tachycardia , anesthesia
An atrial pacemaker was implanted in a patient who had dilated cardiomyopathy, sinus node dysfunction, and drug‐resistant ventricular tachycardia (VT). VT episodes were terminated by atrial overdrive pacing using an implanted pacmaker and a newly developed handheld external programmer/transmitter. Although successful cases of termination of intractable VT by ventricular pacing have recently been reported, the ventricular method might increase the risk of accelerating VT. Atrial overdrive pacing is a safer method since it minimizes the possibility of tachycardia acceleration and, combined with antiarrhythmic drugs, it appeared to be a unique and useful approach for the treatment of drug‐resistant VT.