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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Programmed stimulation for long-term treatment and non-invasive investigation of recurrent tachycardia.
    Author: Kappenberger L, Sowton E.
    Journal: Lancet; 1981 Apr 25; 1(8226):909-14. PubMed ID: 6112325.
    Abstract:
    Eleven patients with recurrent tachycardia refractory to drugs were treated by a pacemaker system that consisted of an implanted QRS triggered stimulator activated by the application of stimuli to the patient's skin. These skin stimuli are derived by a small control box carried about in the pocket or handbag and which the patient holds in his hands to make contact with the electrode plates during a tachycardia attack. If the heart rate is higher than the preset value on the control box, timed stimuli are delivered to the skin. The tachycardia is stopped by a premature ventricular contraction induced during the "termination window", a period that occurs very soon after the refractory period. The skin impulses continue to be delivered until the tachycardia stops. The eleven patients were followed up for more than 2 1/2 years and about 2000 episodes were reliably stopped by this pacemaker system. Patients do not feel the skin stimuli and there were few complications.
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