Nonpharmacologic therapy of ventricular tachycardia.

Abstract:

:Nonpharmacologic therapies for patients with sustained ventricular tachycardia have been necessitated by the low frequency of drug-responsive patients. These nonpharmacologic therapies include antitachycardia pacemakers, low-energy cardioverters, defibrillators, surgery and, for the present, catheter ablation. Antitachycardia pacing alone should never be used because of the known incidence of acceleration of ventricular tachycardia to ventricular fibrillation. Thus, all electrical devices must include a back-up defibrillator at the very least. The current automatic implantable cardioverter-defibrillator, which has been implanted in over 1000 patients, has been shown to prevent sudden death. Surgery has offered the only method to cure the arrhythmia by removing the arrhythmogenic substrate. Improved surgical techniques with electrophysiologic guidance have an acceptable mortality and a clinical success rate in 80-90% range. Catheter ablation, which is an experimental procedure at this time, offers the promise of a nonsurgical technique to extirpate the ventricular tachycardia substrate.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Josephson ME,Miller JM,Marchlinski FE,Buxton AE

subject

Has Abstract

pub_date

1988-03-01 00:00:00

pages

II17-21

issue

3 Suppl 2

eissn

0160-9289

issn

1932-8737

journal_volume

11

pub_type

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