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
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ENGEL TR. Endocardial Surgery for Ventricular Tachycardia: The Inside Story. Ann Intern Med. 1981;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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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