PMID: 6112325Apr 25, 1981Paper

Programmed stimulation for long-term treatment and non-invasive investigation of recurrent tachycardia

Lancet
L L Kappenberger, E Sowton

Abstract

Eleven patients with recurrent tachycardia refractory to drugs were treated by a pacemaker system that consisted of an implanted QRS triggered stimulator activated by the application of stimuli to the patient's skin. These skin stimuli are derived by a small control box carried about in the pocket or handbag and which the patient holds in his hands to make contact with the electrode plates during a tachycardia attack. If the heart rate is higher than the preset value on the control box, timed stimuli are delivered to the skin. The tachycardia is stopped by a premature ventricular contraction induced during the "termination window", a period that occurs very soon after the refractory period. The skin impulses continue to be delivered until the tachycardia stops. The eleven patients were followed up for more than 2 1/2 years and about 2000 episodes were reliably stopped by this pacemaker system. Patients do not feel the skin stimuli and there were few complications.

Citations

Oct 1, 1983·The American Journal of Cardiology·K den DulkI Bourgeois
Jan 1, 1984·Journal of the American College of Cardiology·C P ReddyA N DeMaria
Feb 1, 1990·Pacing and Clinical Electrophysiology : PACE·M A De BelderA J Camm
Sep 1, 1984·Pacing and Clinical Electrophysiology : PACE·K den DulkH J Wellens
Jan 1, 1985·Pacing and Clinical Electrophysiology : PACE·J R HigginsG W Beddingfield
Jan 1, 1986·Pacing and Clinical Electrophysiology : PACE·R M LuceriR J Myerburg
Nov 1, 1984·Pacing and Clinical Electrophysiology : PACE·E Sowton

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