Implantable Pacemakers for Management of Supraventricular Tachyarrhythmias: Current Status

  • P. Citron
  • E. Duffin
Conference paper

Abstract

The permanent, implanted cardiac pacemaker has become a widely used, generally accepted therapy since its first clinical application in 1959. Initially, indications for use were very narrow, intended for ventricular stimulation in cases of complete atrioventricular block with Adams- Stokes seizures. In the intervening years, indications have broadened to the point where an estimated 220,000 devices worldwide were implanted in 1978. Of these, the vast majority were applied primarily for the management of bradyarrhythmias. As a fuller understanding of the potential capabilities of pacing systems emerged and as technological maturation occurred, a relatively small number of systems were adapted for use in the management of tachyarrhythmias.

Keywords

Fibril Cardiol Hunt Mandel 

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References

  1. 1.
    Giannelli S, Ayres SM, Gomprecht RF, Conklin EF, Kennedy RJ (1967) Therapeutic surgical division of the human conduction system. JAMA 199: 123–128CrossRefGoogle Scholar
  2. 2.
    Peters RW, Shafton E, Frank S, Thomas AN, Scheinman MM (1978) Radiofrequency- triggery pacemakers: Uses and limitations. Ann Intern Med 88: 17–22PubMedGoogle Scholar
  3. 3.
    Zipes DP, King R, Duffin EG (1979) Use of a new antiarrhythmia physiologic pacemaker in a patient with debilitating atrial tachyarrhythmias. Vlth world symposium on cardiac pacing, Montreal 1979Google Scholar
  4. 4.
    Wit AL, Hoffman BF, Cranefield PF (1972) Slow conduction and re-entry in the ventricular conducting system. 1. Return extrasystole in canine Purkinj e fibers. Circ Res 30: 1–17Google Scholar
  5. 5.
    Haft JI (1974) Treatment of arrhythmias by intracardiac electrical stimulation. Prog Cardiovasc Dis 16: 539–568PubMedCrossRefGoogle Scholar
  6. 6.
    Wellens HJJ, Bär FW, Gorgels AP, Muncharaz JF (1978) Electrical management of arrhythmias with emphasis on the tachycardias. Am J Cardiol 41: 1025–1034PubMedCrossRefGoogle Scholar
  7. 7.
    Cohen HC, Arbel ER (1976) Tachycardias and electrical pacing. Med Clin North Am 60: 343–367PubMedGoogle Scholar
  8. 8.
    Coumel P, Mugica J (1976) Treatment of tachycardias by pacing. In: Watanabe Y (ed). Cardiac pacing. Proceedings of the Vth international symposium, Tokyo, March 14–18, 1976. Excerpta Medica, Amsterdam, p 191Google Scholar
  9. 9.
    Sutton R, Citron P (to be published) Electrophysiological and haemodynamic basis for application of new pacemaker technology in sich sinus syndrome and atrioventricular block. Br Heart JGoogle Scholar
  10. 10.
    Han J, Moe GK (1964) Non-uniform recovery of excitability in ventricular muscle. Circ Res 14: 44–60PubMedGoogle Scholar
  11. 11.
    Han H, Millet D, Chizzonitti B (1966) Temporal dispersion of recovery of excitability in atrium and ventricle as a function of heart rate. Am Heart J 71: 481–487PubMedCrossRefGoogle Scholar
  12. 12.
    Spurrel RAJ, Sowton E (1976) Pacing techniques in the management of supraventricular tachycardias, part 2. J Electrocardiol 9: 89–96CrossRefGoogle Scholar
  13. 13.
    Fields J, Berkovits BV, Matloff JM (1973) Surgical experience with temporary and permanent A-V sequential demand pacing. J Thorac Cardiovasc Surg 66: 865–877PubMedGoogle Scholar
  14. 14.
    Davidson RM, Wallace AG, Sealy Will C, Gordon MS (1971) Electrically induced atrial tachycardia with block. Circulation 44: 1014–1021PubMedGoogle Scholar
  15. 15.
    Arbel ER, Cohen MC, Langendorf R, Glick G (1978) Successful treatment of drug- resistant atrial tachycardia and intractable congestive heart failure with permanent coupled atrial pacing. Am J Cardiol 41: 336–340PubMedCrossRefGoogle Scholar
  16. 16.
    Durrer D, Schoo L, Schuilenburg RM, Wellens HJ (1967) The role of premature beats in the initiation and termination of supraventricular tachycardia in the WPW syndrome. Circulation 36: 644–662PubMedGoogle Scholar
  17. 17.
    Hunt NC, Cobb FR, Meanshe B, Waxman MB, Zeft HJ, Peler RH, Morris JJ (1968) Conversion of supraventricular tachycardias with atrial stimulation: evidence of re-entry mechanism. Circulation 38: 1060–1065PubMedGoogle Scholar
  18. 18.
    Barold SS, Linhart FW, Samet P, Lister FW (1969) Supraventricular tachycardia initiated and terminated by a single electrical stimulus. Am J Cardiol 24: 37–41PubMedCrossRefGoogle Scholar
  19. 19.
    Abinader EG (1976) Recurrent supraventricular tachycardia. Success and subsequent failure of termination by implanted endocardial pacemaker. JAMA 236: 2203–2205PubMedCrossRefGoogle Scholar
  20. 20.
    Wellens HJJ (1971) Electrical stimulation of the heart in the study and treatment of tachycardias. University Park Press, BaltimoreGoogle Scholar
  21. 21.
    Ryan GF, Easley RM, Zaroft LI, Goldstein S (1968) Paradoxical use of a demand pacemaker; treatment of a supraventricular tachycardia due to the Wolff-Parkinson- White syndrome — observation on termination of reciprocal rhythm. Circulation 38: 1037–1043PubMedGoogle Scholar
  22. 22.
    Mugica J, Coumel TH (1973) Termination of ventricular and supraventricular tachycardia by an implanted stimulator triggered by the patient himself. In: Hilbert J, Thalen Th (eds). Cardiac pacing: Proceedings of the 4th international symposium on cardiac pacing, Groningen. Van Gorcum, Assen, p 387–388Google Scholar
  23. 23.
    Moss AJ, Rivers RJ (1974) Termination and inhibition of recurrent tachycardias by implanted pervenous pacemakers. Circulation 50: 942–947PubMedGoogle Scholar
  24. 24.
    Preston TA, Kirsh MM (1970) Permanent pacing of the left atrium for treatment of WPW tachycardia. Circulation 42: 1073–1077PubMedGoogle Scholar
  25. 25.
    Krikler D, Curry P, Buffet J (1976) Dual demand pacing for reciprocating atrioventricular tachycardia. Br Med J 1: 1114–1116PubMedCrossRefGoogle Scholar
  26. 26.
    Curry PVL, Kingaby G, Krikler DM (1977) Dual demand pacing for refractor re-entry atrioventricular tachycardias. Br Heart J 39: 348Google Scholar
  27. 27.
    Rowland E, Curry P, Krikler D (1978) Dual demand pacing in patients with refractory paroxysmal re-entry atrioventricular tachycardia. 1st European symposium on cardiac pacing, London, May 1978Google Scholar
  28. 28.
    Mandel WJ, Laks MM, Yamaguchi I, Fields J, Berkovits B (1976) Recurrent reciprocating tachycardias in the Wolff-Parkinson-White syndrome. Chest 69: 769–774PubMedCrossRefGoogle Scholar
  29. 29.
    Fisher JD, Furman S (1978) Automatic termination of tachycardia by an implanted “upside down” demand pacemaker. Am Fed CI Res 26: 231AGoogle Scholar
  30. 30.
    Fisher JD, Mehra R, Furman S (1978) Termination of ventricular tachycardia with bursts of rapid ventricular pacing. Am J Cardiol 41: 94–102PubMedCrossRefGoogle Scholar
  31. 31.
    DeSanctis R (1974) Comments to termination and inhibition of recurrent tachycardias by implanted pervenous pacemakers. Circulation 50: 947Google Scholar
  32. 32.
    Lister JW, Cohen LS, Bernstein WH (1968) Treatment of supraventricular tachycardias by rapid atrial stimulation. Circulation 38: 1044–1059PubMedGoogle Scholar
  33. 33.
    Lister W, Gosselin AJ, Nathan DA (1973) Rapid atrial stimulation in the treatment of supraventricular tachycardia. Chest 63: 995–1001PubMedCrossRefGoogle Scholar
  34. 34.
    Iwa T, Wada J (1974) Treatment of tachycardia by atrial pacing. Nippon Junkankigaku Shi 38: 82–86PubMedGoogle Scholar
  35. 35.
    Kahn AM, James J, Citron P (1976) Patient-initiated rapid atrial pacing to manage supraventricular tachycardia. Am J Cardiol 38: 200–203PubMedCrossRefGoogle Scholar
  36. 36.
    Waxman MB, Wald RW, Bonet JF, MacGregor DG, Goldman BS (1978) Self-conversion of supraventricular tachycardia by rapid atrial pacing. PACE 1: 35–48Google Scholar
  37. 37.
    Lister JW (1978) A new technology: Patient-triggered pacemakers. Ann Intern Med 88: 120–121PubMedGoogle Scholar
  38. 38.
    Neumann G, Funke H, Simon H, Aulep H, Grube E, Schaede A (1977) Successful treatment of supraventricular re-entry tachycardias by implantation of demand over-drive pacemakers. Troubles du rhythme et electrostimulation. Symposium International, Toulouse, France, Septembre 1977Google Scholar
  39. 39.
    Neumann G, Funke H, Simon H, Aulep H, Grube E, Schaede A (1977) Therapie Supraventrikulärer Reentry-Tachykardien durch Implantation bedarfsgesteuerter Overdrive-Schrittmacher. Herz/Kreislauf 9, 12: 714–721Google Scholar
  40. 40.
    Fisher JD, Furman S, Duffin EG (1979) Automatic implanted rapid burst pacer for refractory ventricular tachycardia. Abstract submitted to American Federation for Clinical Research, May 1979Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1980

Authors and Affiliations

  • P. Citron
  • E. Duffin
    • 1
  1. 1.Medtronic, Inc.MinneapolisUSA

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