Termination of sustained ventricular tachycardia with a new antitachycardia pacemaker: role of the nonautomatic mode to follow pacemaker function
Détails
ID Serval
serval:BIB_C9E91685D50D
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Termination of sustained ventricular tachycardia with a new antitachycardia pacemaker: role of the nonautomatic mode to follow pacemaker function
Périodique
Canadian Journal of Cardiology
ISSN
0828-282X (Print)
Statut éditorial
Publié
Date de publication
02/1989
Volume
5
Numéro
1
Pages
42-6
Notes
Case Reports
Journal Article --- Old month value: Jan-Feb
Journal Article --- Old month value: Jan-Feb
Résumé
The use of an antitachycardia pacemaker for the treatment of recurrent, drug resistant nonsyncopal sustained ventricular tachycardia in a 28-year-old patient is described. The report emphasizes the role of electrocardiographic recording during manual activation of the tachycardia response in an outpatient setting. The follow-up covers 12 months with 26 spontaneous tachycardia episodes forcing the patient to go to an emergency room to monitor tachycardia termination. Mean ventricular tachycardia cycle length was 340 +/- 21 ms. Tachycardias were terminated either by the primary or secondary modality without acceleration or degeneration to ventricular fibrillation. Thus, it was possible to assess the efficacy and the safety of the termination programs. Unlike during intensive in-hospital testing, restoration of stable sinus rhythm was complicated by re-emergence of ventricular tachycardia. It is concluded that manual activation with medical supervision provides safe management of selected patients with ventricular tachycardia. However, in-hospital testing overestimated, in this case, the efficacy of tachycardia response modalities to terminate spontaneous tachycardia episodes. The customization of an antitachycardia pacemaker with an automatic implantable cardioverter/defibrillator may increase the quality of life as it would allow switching to automatic pace termination.
Mots-clé
Adult
Cardiac Pacing, Artificial/*methods
Electrocardiography
Electrophysiology
Follow-Up Studies
Heart Conduction System/physiopathology
Humans
Male
*Pacemaker, Artificial
Tachycardia/*therapy
Time Factors
Pubmed
Web of science
Création de la notice
28/01/2008 10:55
Dernière modification de la notice
20/08/2019 16:44