TOBY R. ENGEL, M.D.
Recurrent ventricular tachycardia from ventricular aneurysm or scars has been reported more frequently in recent years. This rising frequency probably reflects a growing number of patients who have survived coronary accidents because of improved out-of-hospital resuscitation from sudden death, better drug treatment of infarcts, and surgery for angina. But their ventricular tachycardias are difficult to treat; drugs often do not prevent recurrence (1-3).
As will be reviewed by Horowitz and colleagues (4) in a subsequent issue of this journal, routine coronary artery bypass and aneurysmectomy has failed to prevent recurrence of ventricular tachycardia more often than not. These failures probably
ENGEL TR. Endocardial Surgery for Ventricular Tachycardia: The Inside Story. Ann Intern Med. ;94:402–404. doi: 10.7326/0003-4819-94-3-402
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Published: Ann Intern Med. 1981;94(3):402-404.
Cardiology, Rhythm Disorders and Devices.
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