Abstract
Tachyarrhythmias may be treated effectively and safely with synchronized transthoracic direct current shocks (1). Further, an implantable defibrillator has been developed and used successfully in patients to terminate ventricular fibrillation (2,3). Recently, Jackman and Zipes (4) demonstrated that ventricular tachycardia could be terminated with shocks of ≤1.0 joule delivered through a catheter electrode placed in the right ventricular apex of dogs. Subsequently, we (5,6) reported our initial observations on the safety and usefulness of transvenous cardioversion of ventricular arrhythmias in humans. Extension of our preliminary results, including termination of supraventricular tachycardia, as well as methodology of transvenous cardioversion are discussed below.
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References
Lown B. 1967. Electrical reversion of cardiac arrhythmias. Br Heart J 29: 469.
Mirowski M, et al. 1981. Clinical treatment of life-threatening ventricular tachyarrhythmias with the automatic implantable defibrillator. Am Heart J 102: 265.
Mirowski M, et al. 1980. Termination of malignant ventricular arrhythmias with an implanted automatic defibrillator in human beings. N Engl J Med 303 (6): 322.
Jackman WM, Zipes DP. 1982. Low-energy synchronous cardioversion of ventricular tachycardia using a catheter electrode in a canine model of subacute myocardial infarction. Circulation 66: 187.
Zipes DP, et al. 1982. Clinical transvenous cardioversion of recurrent life-threatening ventricular tachyarrhythmias: low energy synchronized cardioversion of ventricular tachycardia and termination of ventricular fibrillation in patients using a catheter electrode. Am Heart J 103: 789.
Zipes DP, et al. 1982. Additional observations on transvenous cardioversion of recurrent ventricular tachycardia. Am Heart J 104: 163.
Yee R, Zipes DP, Gulamhusein S, Kallok MJ, Klein GJ. 1982, in press. Countershock using an intravascular catheter in an acute care setting. Am J cardiol.
Naccarelli GV, Prystowsky EN, Jackman WM, Heger JJ, Rahilly GT, Zipes DP. 1982. Role of electrophysiologic testing in managing patients who have ventricular tachycardia unrelated to coronary artery disease. Am J Cardiol 50: 165.
Heger JJ, Prystowsky EN, Jackman WM, Naccarelli GV, Warfel KA, Rinkenberger RL, Zipes DP. 1981. Amiodarone: clinical efficacy and electrophysiology during long-term therapy for recurrent ventricular tachycardia. N Engl J Med 305: 539.
Rinkenberger RL, Prystowsky EN, Jackman WM, Naccarelli GV, Heger JJ, Zipes DP. 1982. Drug conversion of nonsustained ventricular tachycardia to sustained ventricular tachycardia during serial electrophysiologic studies: Identification of drugs that exacerbate tachycardia and potential mechanisms. Am Heart J 103: 117.
Guiraudon G, et al. 1978. Encircling endocardial ventriculotomy: a new surgical treatment for life-threatening ventricular tachycardias resistant to medical treatment following myocardial infarction. Ann Thorac Surg 26: 438.
Horowitz LN. 1980. Ventricular resection guided by epicardial and endocardial mapping for treatment of recurrent ventricular tachycardia. N Engl J Med 302: 589.
Wittig JH, Boineau JP. 1975. Surgical treatment of ventricular arrhythmias using epicardial, transmural and endocardial mapping. Ann Thorac Surg 20: 117.
Fisher JD, Mehra R, Furman S. 1978. Termination of ventricular tachycardia with bursts of rapid ventricular pacing. Am J Cardiol 41: 94.
Hartzler G, Holmes D, Osborn M. 1981. Patient-activated transvenous cardiac stimulation for the treatment of supraventricular and ventricular tachycardia. Am J Cardiol 47: 903.
Naccarelli GV, et al. 1982, in press. Influence of tachycardia cycle length and antiarrhythmic drugs on pacing termination and acceleration of ventricular tachycardia. Am Heart J.
Ruskin JN, Garan H, Pulin F, Harthorne J. 1980. Permanent radio- frequency ventricular pacing for management of drug-resistant ventricular tachycardia. Am J Cardiol 46: 317.
Ruskin JN, DiMarco JP, Garan H. 1980. Out-of-hospital cardiac arrest. Electrophysiologic observations and selection of long-term antiarrhythmic therapy. N Engl J Med 303: 607.
Kerber RE, et al. 1981. Effect of direct current countershocks on regional myocardial contractility and perfusion. Circulation 63: 323.
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© 1983 Martinus Nijhoff Publishers, Boston
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Prystowsky, E.N., Heger, J.J., Zipes, D.P. (1983). Transvenous Cardioversion to Treat Tachyarrhythmias. In: Morganroth, J., Moore, E.N. (eds) Sudden Cardiac Death and Congestive Heart Failure: Diagnosis and Treatment. Developments in Cardiovascular Medicine, vol 25. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-3876-5_19
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DOI: https://doi.org/10.1007/978-1-4613-3876-5_19
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