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  • Title: [Ventricular tachycardia and ventricular fibrillation. Diagnostic procedure for selection of patients for non-medicamentous therapeutic procedures].
    Author: Schmidinger H.
    Journal: Wien Med Wochenschr; 1992; 142(15-16):341-6. PubMed ID: 1481538.
    Abstract:
    The use of nonpharmacological methods in the treatment of life-threatening ventricular tachyarrhythmias is increasing. These include surgical procedures, the application of direct and radiofrequency current for endocardial ablation, antitachycardia stimulation techniques and the implantation of cardioverter defibrillators. Each of these therapeutical procedures is characterized by its specific indication. Based on the underlying cardiac disease and the characteristics of the electrophysiological properties of the ventricular tachyarrhythmia as well as based on the specific properties of the different nonpharmacological procedures an individual therapeutical approach has to be tailored for a patient given. Primary goal is application of a nonpharmacological procedure exclusively, however, in selected cases additional administration of an anti-arrhythmic drug (decrease in tachycardia frequency in patients with implanted defibrillators, widening of the termination window in patients with antitachycardia devices) may be necessary to achieve satisfactory tachycardia control.
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