Open AccessOverdrive suppression of postoperative sustained ventricular tachycardia by atrial pacing and its hemodynamic effect
Author(s) -
Sameer Mohammed,
Sudip Dutta Baruah,
Sabarinath Me,
Baiju S. Dharan,
Sowmya Ramanan,
Javid Raja,
Narayanan Namboodiri
Publication year - 2021
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_174_19
Subject(s) - medicine , amiodarone , intracardiac injection , cardiology , tetralogy of fallot , ventricular tachycardia , hemodynamics , tachycardia , atrial tachycardia , anesthesia , atrial fibrillation , heart disease , catheter ablation
Sustained ventricular tachycardia (VT) in the early postoperative period following intracardiac repair for tetralogy of Fallot is rare. In stable VT, amiodarone forms the mainstay of management. However, where amiodarone and other antiarrhythmic drugs are contraindicated, suppressive overdrive atrial pacing can be used as a safe and efficient alternative to maintain cardiac output. We present a case of 1-year 5-month-old child who developed VT with low cardiac output syndrome with deranged hepatic function, who was managed efficiently using suppressive atrial pacing to ameliorate the effects of sustained VT.