PMID: 1704587Dec 1, 1990Paper

Transcutaneous cardiac pacing for termination of tachyarrhythmias

Pacing and Clinical Electrophysiology : PACE
G AltamuraM Pistolese

Abstract

Transcutaneous cardiac pacing (TCP) was used for interruption of tachyarrhythmias in 31 patients: 20 with ventricular tachycardia (VT); eight with atrioventricular reentrant tachycardia (AVRT) and three had atrioventricular nodal tachycardia (AVNT). The stimulators used (Pace Aid 50/52) allow pacing at programmable rates (50-160 ppm) and output (10-200 mA at 20-msec pulse duration), when possible overdrive pacing was used. Short bursts of stimuli were delivered with increasing current intensity until interruption of the arrhythmia or to the maximum energy tolerated by the patient. VTs were interrupted in eight of the 20 patients: four of the six (67%) treated by overdrive pacing and four of the 14 (29%) were treated by underdrive pacing. Supraventricular tachycardias (SVT) were terminated in eight of the 11 patients: seven out of eight (88%) AVT, and one out of three AVNT (33%). We observed two cases of arrhythmia worsening: a VT acceleration and induction of ventricular fibrillation in a patient with AVNT. TCP was well tolerated by the majority of the patients. We conclude that TCP is an effective method for interruption of ventricular and supraventricular reentrant tachycardias, but the risk of arrhythmia worsening must be co...Continue Reading

References

Jan 1, 1978·The American Journal of Cardiology·J D FisherS Furman
Feb 1, 1989·Pacing and Clinical Electrophysiology : PACE·G AltamuraM Pistolese
Mar 1, 1988·The American Journal of Cardiology·J C LuckM L Markel
May 1, 1985·Circulation·P M ZollE M Antman
Sep 1, 1983·Pacing and Clinical Electrophysiology : PACE·J D FisherE Ostrow
Dec 1, 1982·The American Journal of Cardiology·M J GardnerM E Josephson

Citations

Sep 27, 2008·Journal of Molecular and Cellular Cardiology·John P FahrenbachKathrin Banach
Mar 1, 1993·The American Journal of Emergency Medicine·R B Vukmir
Dec 6, 2005·American Journal of Obstetrics and Gynecology·Jeffrey KarsdonGeorge Saade
Apr 9, 2001·Psychosomatic Medicine·T D BlumenthalC D Swerdlow
Aug 1, 1991·Pacing and Clinical Electrophysiology : PACE·J C Luck, M L Markel
Jun 2, 1998·Journal of Cardiovascular Electrophysiology·W PetersM Meesmann
Nov 1, 1992·Pacing and Clinical Electrophysiology : PACE·B P GrubbJ C Luck

Related Concepts

Cardiac Pacing, Artificial
Electrocardiographic Recorders
Electrode
Medical Device Design
Artificial Cardiac Pacemaker
Esthesia
Tachycardia
Tachycardia, Atrioventricular Nodal Reentry
Supraventricular Tachycardia

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