Termination of sustained ventricular tachycardia with a new antitachycardia pacemaker: role of the nonautomatic mode to follow pacemaker function

Details

Serval ID
serval:BIB_C9E91685D50D
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Termination of sustained ventricular tachycardia with a new antitachycardia pacemaker: role of the nonautomatic mode to follow pacemaker function
Journal
Canadian Journal of Cardiology
Author(s)
Fromer  M., Kus  T., Page  P., Shenasa  M.
ISSN
0828-282X (Print)
Publication state
Published
Issued date
02/1989
Volume
5
Number
1
Pages
42-6
Notes
Case Reports
Journal Article --- Old month value: Jan-Feb
Abstract
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.
Keywords
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
Create date
28/01/2008 9:55
Last modification date
20/08/2019 15:44
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