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Clinical use of transoesophageal atrial stimulation in terminating ventricular tachycardia.

Abstract：

:This study was performed to evaluate whether transoesophageal atrial pacing could also stop ventricular tachycardias with low rates and no haemodynamic impairment. Prior to resorting to ventricular endocardial pacing, seven male patients, aged between 15 and 73 years, were treated by transoesophageal atrial pacing for 10 spontaneous episodes of sustained ventricular tachycardia at rates between 105 and 160 beats per minute, without haemodynamic impairment. When atrial pacing did not allow ventricular capture, atropine sulphate was administered. Transoesophageal atrial pacing led to ventricular capture in seven episodes, which made overdriving possible, and blocked six episodes of ventricular tachycardia. In no case did transoesophageal atrial pacing lead to an acceleration of ventricular tachycardia or to degeneration into ventricular fibrillation. Transoesophageal atrial pacing can block low-rate sustained ventricular tachycardias (less than or equal to 150 beats per minute). For low-rate sustained ventricular tachycardias without haemodynamic impairment, transoesophageal atrial pacing can thus be used as the method of choice thanks to its good ratio of risk to efficiency.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Favale S,Minafra F,Amodio G,Tritto M,Massari V,Rizzon P

doi

10.1016/0167-5273(90)90318-y

subject

Has Abstract

pub_date

1990-09-01 00:00:00

pages

347-52

issue

3

eissn

0167-5273

issn

1874-1754

pii

0167-5273(90)90318-Y

journal_volume

28

pub_type

杂志文章

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