Increase in ventricular tachycardia frequency after biventricular implantable cardioverter defibrillator upgrade

被引：62

作者：

Guerra, JM ^{[1
]}

Wu, JY ^{[1
]}

Miller, JM ^{[1
]}

Groh, WJ ^{[1
]}

机构：

[1] Indiana Univ, Sch Med, Krannert Inst Cardiol, Cardiovasc Div,Dept Med, Indianapolis, IN 46202 USA

来源：

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 2003年 / 14卷 / 11期

关键词：

cardiac resynchronization therapy; left ventricular pacing; implantable cardioverter defibrillator; ventricular tachycardia;

D O I：

10.1046/j.1540-8167.2003.03303.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report the case of a patient in whom transvenous left ventricular pacing lead placement at the time of a biventricular upgrade led to an exacerbation of clinical monomorphic ventricular tachycardia (MVT). At implant, slow left ventricular pacing repeatedly induced sustained MVT. However, testing of the biventricular pacing showed no MVT inducibility, and the system was implanted. The patient was readmitted due to multiple episodes of the MVT observed at implant. The MVT was controlled with pharmacotherapy, allowing the patient to continue with biventricular pacing.

引用

页码：1245 / 1247

页数：3

共 5 条

[1] ROLE OF TRIPLE EXTRASTIMULI DURING ELECTROPHYSIOLOGIC STUDY OF PATIENTS WITH DOCUMENTED SUSTAINED VENTRICULAR TACHYARRHYTHMIAS [J].

BUXTON, AE ;

WAXMAN, HL ;

MARCHLINSKI, FE ;

UNTEREKER, WJ ;

WASPE, LE ;

JOSEPHSON, ME .

CIRCULATION, 1984, 69 (03) :532-540

[2] EFFECT OF INCREASED CURRENT, MULTIPLE PACING SITES AND NUMBER OF EXTRASTIMULI ON INDUCTION OF VENTRICULAR-TACHYCARDIA [J].

HERRE, JM ;

MANN, DE ;

LUCK, JC ;

MAGRO, SA ;

FIGALI, S ;

BREEN, T ;

WYNDHAM, CRC .

AMERICAN JOURNAL OF CARDIOLOGY, 1986, 57 (01) :102-107

[3] Effect of epicardial or biventricular pacing to prolong QT interval and increase transmural dispersion of repolarization - Does resynchronization therapy pose a risk for patients predisposed to long QT or torsade de pointes? [J].

Medina-Ravell, VA ;

Lankipalli, RS ;

Yan, GX ;

Antzelevitch, C ;

Medina-Malpica, NA ;

Medina-Malpica, OA ;

Droogan, C ;

Kowey, PR .

CIRCULATION, 2003, 107 (05) :740-746

[4] Electroanatomic mapping of cardiac resynchronization therapy [J].

Reddy, VY ;

Neuzil, P ;

Taborsky, M ;

Kralovec, S ;

Sedivá, L ;

Ruskin, JN .

CIRCULATION, 2003, 107 (21) :2761-2763

[5] ANATOMIC AND ELECTROPHYSIOLOGIC CORRELATES OF VENTRICULAR-TACHYCARDIA REQUIRING LEFT-VENTRICULAR STIMULATION [J].

ROBERTSON, JF ;

CAIN, ME ;

HOROWITZ, LN ;

SPIELMAN, SR ;

GREENSPAN, AM ;

WAXMAN, HL ;

JOSEPHSON, ME .

AMERICAN JOURNAL OF CARDIOLOGY, 1981, 48 (02) :263-268

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