Treatment of the bradycardia-tachycardia syndrome with permanent demand pacing.

Abstract:

:The bradycardia-tachycardia syndrome (paroxysmal supraventricular tachycardia alternating with sinus bradycardia and episodes of sinus node arrest) has previously presented a complicated therapeutic dilemma when excitatory and suppressive drugs have been utilized. A patient with this syndrome successfully treated with a permanent ventricular transvenous demand pacemaker is presented. Various aspects of this syndrome as well as facets of diagnosis and treatment have been reviewed and discussed. Significant underlying cardiac disease was ruled out in this patient by the usual diagnostic methods including left heart catheterization and coronary angiography. An interesting possibility of the relationship of vagal stimulation secondary to hiatus hernia as an etiologic factor in this syndrome has been discussed. The opinion is expressed that the currently preferred method of treatment is the insertion of a permanent transvenous pacemaker alone or in conjunction with antiarrhythmic drugs, preferably digitalis and propranolol.

journal_name

Angiology

journal_title

Angiology

authors

Pittman DE

doi

10.1177/000331977602700406

subject

Has Abstract

pub_date

1976-04-01 00:00:00

pages

243-54

issue

4

eissn

0003-3197

issn

1940-1574

journal_volume

27

pub_type

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