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Abstracts |

Synchronized Precordial DC Shock in the Treatment of Arrhythmias.

Thomas Killip, M.D.
Ann Intern Med. 1964;60(2_Part_1):323. doi:10.7326/0003-4819-60-2-323_1
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Drug therapy of arrhythmia, although well-established by long usage, frequently requires near toxic doses for effect and necessitates a tedious titration of dose and response. Recently a new method, synchronized precordial DC countershock, has been introduced in the management of arrhythmia. Experience with DC shock in the treatment of arrhythmia in more than 100 patients will be described. The technique has been utilized in more than 120 instances of arrhythmias, including atrial tachycardia, atrial tachycardia with block, atrial flutter and fibrillation, and ventricular tachycardia. Sinus rhythm resulted in 85% of reversion attempts. No emboli occurred. Serial serum glutamic oxaloacetic transaminase


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