Management of Patients with Sustained Ventricular Tachyarrhythmias: Different Clinical Studies, Different Patients

  • M. Borggrefe
  • W. Haverkamp
  • A. Martinez-Rubio
  • T. Wichter
  • G. Breithardt


In the United States, approximately 350 000 patients each year die from sudden cardiac death. Based on results of Holier monitoring recordings at the time of sudden death, approximately 80 % of deaths are due to ventricular tachyarrhythmias [1–3]. In addition, approximately 3–6% of postmyocardial infarction patients develop monomorphic ventricular tachycardia that does not lead to cardiac arrest. Thus, overall, approximately 400 000 patients each year develop potentially life-threatening sustained ventricular tachyarrhythmias. Most commonly, these arrhythmias are encountered in patients with coronary artery disease and cardiomyopathies. Based on observations back to the 1930 s, patients with sustained ventricular tachyarrhythmias have a high mortality rate. Management of sustained ventricular tachyarrhythmias can be divided into two main categories: pharmacological and non-pharmacological. The pharmacological approach remains by far the most commonly used mode of therapy, at least for a first attempt.


Cardiac Arrest Ventricular Tachycardia Ventricular Fibrillation Antiarrhythmic Drug Ventricular Tachyarrhythmia 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • M. Borggrefe
  • W. Haverkamp
  • A. Martinez-Rubio
  • T. Wichter
  • G. Breithardt

There are no affiliations available

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