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  • Title: Termination of ventricular tachycardia by an implantable atrial pacemaker and external pacemaker activator.
    Author: Tanabe A, Ikeda H, Fujiyama M, Furuta Y, Matsumura J, Ohbayashi J, Utsu F, Toshima H.
    Journal: Pacing Clin Electrophysiol; 1985 Jul; 8(4):532-8. PubMed ID: 2410878.
    Abstract:
    An atrial pacemaker was implanted in a patient who had dilated cardiomyopathy, sinus node dysfunction, and drug-resistant ventricular tachycardia (VT). VT episodes were terminated by atrial overdrive pacing using an implanted pacemaker and a newly developed hand-held external programmer/transmitter. Although successful cases of termination of intractable VT by ventricular pacing have recently been reported, the ventricular method might increase the risk of accelerating VT. Atrial overdrive pacing is a safer method since it minimizes the possibility of tachycardia acceleration and, combined with antiarrhythmic drugs, it appeared to be a unique and useful approach for the treatment of drug-resistant VT.
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