JOHN A. KASTOR, M.D.; ROMAN W. DESANCTIS, M.D., F.A.C.P.; J. WARREN HARTHORNE, M.D., F.A.C.P.; GABRIEL H. SCHWARTZ, M.D.
Among the most challenging and potentially fatal problems in medicine is that of repetitive ventricular tachycardia and ventricular fibrillation that cannot be suppressed with the usual antiarrhythmic drugs. When this problem arises in the course of complete atrioventricular (AV) block, it usually can be eliminated by pacing the ventricles at a rate that prevents ventricular ectopic activity from emerging (1).
Recently Sowton, Leatham, and Carson (2) and Heiman and Helwig (3) have reported the successful use of rapid intracardiac pacing by means of electrodes positioned in either the right ventricle or right atrium to manage refractory ventricular tachyarrhythmias even in
KASTOR JA, DESANCTIS RW, HARTHORNE JW, SCHWARTZ GH. Transvenous Atrial Pacing in the Treatment of Refractory Ventricular Irritability. Ann Intern Med. ;66:939–945. doi: 10.7326/0003-4819-66-5-939
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Published: Ann Intern Med. 1967;66(5):939-945.
Cardiology, Rhythm Disorders and Devices.
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