Frequent Recurrent Polymorphic Ventricular Tachycardia during Sleep Due to Managed Ventricular Pacing

被引:26
作者
Vavasis, Christos [1 ]
Slotwiner, David J. [1 ]
Goldner, Bruce G. [1 ]
Cheung, Jim W. [1 ]
机构
[1] Long Isl Jewish Med Ctr, Dept Cardiol, New Hyde Pk, NY 11042 USA
来源
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2010年 / 33卷 / 05期
关键词
pacing; defibrillation-ICD; VT; DUAL-CHAMBER;
D O I
10.1111/j.1540-8159.2009.02655.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of a patient with an implantable cardioverter defibrillator and no prior history of heart block with managed ventricular pacing (MVP) programmed who had frequent recurrent episodes of polymorphic ventricular tachycardia. All of the episodes were initiated by transient atrioventricular block which resulted in short-long-short sequences permitted by MVP. This case illustrates that MVP should be used with caution not only in patients with complete heart block, but also in patients at risk for brief heart block due to such states as hypervagatonia due to sleep apnea. (PACE 2010; 641-644).
引用
收藏
页码:641 / 644
页数:4
相关论文
共 7 条
[1]   Newly detected atrial fibrillation following dual chamber pacemaker implantation [J].
Cheung, Jim W. ;
Keating, Richard J. ;
Stein, Kenneth M. ;
Markowitz, Steven M. ;
Iwai, Sei ;
Shah, Bindi K. ;
Lerman, Bruce B. ;
Mittal, Suneet .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2006, 17 (12) :1323-1328
[2]   Bradycardia pacing-induced short-long-short sequences at the onset of ventricular tachyarrhythmias - A possible mechanism of proarrhythmia? [J].
Sweeney, Michael O. ;
Ruetz, Linda L. ;
Belk, Paul ;
Mullen, Thomas J. ;
Johnson, James W. ;
Sheldon, Todd .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 50 (07) :614-622
[3]   Multicenter, prospective, randomized safety and efficacy study of a new atrial-based managed ventricular pacing mode (MVP) in dual chamber ICDs [J].
Sweeney, MO ;
Ellenbogen, KA ;
Casavant, D ;
Betzold, R ;
Sheldon, T ;
Tang, F ;
Mueller, M ;
Lingle, J .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2005, 16 (08) :811-817
[4]   Adverse effect of ventricular pacing on heart failure and atrial fibrillation among patients with normal baseline QRS duration in a clinical trial of pacemaker therapy for sinus node dysfunction [J].
Sweeney, MO ;
Hellkamp, AS ;
Ellenbogen, KA ;
Greenspon, AJ ;
Freedman, RA ;
Lee, KL ;
Lamas, GA .
CIRCULATION, 2003, 107 (23) :2932-2937
[5]   Risk of managed ventricular pacing in a patient with heart block [J].
van Mechelen, Rob ;
Schoonderwoerd, Rein .
HEART RHYTHM, 2006, 3 (11) :1384-1385
[6]  
Wilkoff BL, 2002, JAMA-J AM MED ASSOC, V288, P3115
[7]  
2006, DRVRD154AWGD154VWC