+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on LinkedInFollow on LinkedIn

+ Translate

Recurrent ventricular tachycardia and fibrillation treated with a combination of the beta-adrenergic blockade and electrical pacing

Recurrent ventricular tachycardia and fibrillation treated with a combination of the beta-adrenergic blockade and electrical pacing

Ann Intern Med 66(5): 945-949

Recurrent ventricular tachycardia occurs most often in patients with organic heart disease. Less commonly this arrythmia occurs in young individuals without underlying heart disease. Although this arrhythmia is generally considered benign when it occurs in these young patients the episodes of paroxysmal ventricular tachycardia may sometimes lead to syncope and sudden death. Both beta-adren-ergic blocking drugs and electrical pacemakers were used separately in the treatment of paroxysmal ventricular arrhythmias. The present case report describes a 15-yr. -old girl with no evidence of underlying heart disease who had recurrent episodes of ventricular fibrillation. After a combination of procaine amide, atropine and propranolol failed to control these ectopic tachycardias, a radio-frequency pacemaker was inserted. With the combined use of propranolol and electrical stimulation of the left atrium, arrhythmias have not recurred, and this mode of therapy may, therefore, have been life-saving.

(PDF emailed within 1 workday: $29.90)

Accession: 025356450

Download citation: RISBibTeXText

Related references

Recurrent ventricular tachycardia and fibrillation treated with a combination of beta-adrenergic blockade and electrical pacing. Annals of Internal Medicine 66(5): 945-949, 1967

Beta adrenergic blockade in the treatment of sustained ventricular tachycardia or ventricular fibrillation. Pacing and Clinical Electrophysiology 19(7): 1026-1035, 1996

Recurrent ventricular tachycardia treated by beta-adrenergetic blockade. Wiadomosci Lekarskie 22(9): 829-834, 1969

Exercise performance and beta-adrenergic blockade in patients with complete heart block treated with ventricular inhibited pacing. Clinical Cardiology 14(9): 749-752, 1991

Limited value of programmed electrical stimulation from multiple right ventricular pacing sites in clinically sustained ventricular fibrillation or ventricular tachycardia associated with coronary artery disease. American Journal of Cardiology 61(4): 303-308, 1988

Further observations on ventricular tachycardia as studied by electrical stimulation of the heart. Chronic recurrent ventricular tachycardia and ventricular tachycardia during acute myocardial infarction. Circulation 49(4): 647-653, 1974

Effectiveness of antitachycardia pacing in combination with an automatic defibrillator for controlling recurrent ventricular tachycardia. Journal of the American College of Cardiology 15(2 SUPPL A): 55A, 1990

Failure of beta-adrenergic blockade to alter ventricular fibrillation threshold in the dog. Evidence for extra-adrenergic effects of pronethalol. Circulation Research 19(4): 721-725, 1966

Effect of beta blockade on ventricular fibrillation- and ventricular tachycardia-induced circulatory arrest in acute myocardial infarction. American Journal of Cardiology 57(12): 34f-37f, 1986

Recurrent attacks of ventricular fibrillation and ventricular tachycardia during myocardial infarct, treated successfully by defibrillation and indirect heart massage. Wiadomosci Lekarskie 32(18): 1323-1326, 1979

Effects of beta adrenergic blockade on the cardiovascular responses to ventricular tachycardia. Acta Cardiologica 21(4): 477-483, 1966

β-Adrenergic stimulation and rapid pacing mutually promote heterogeneous electrical failure and ventricular fibrillation in the globally ischemic heart. American Journal of Physiology. Heart and Circulatory Physiology 308(9): H1155-H1170, 2015

Termination of recurrent supraventricular tachycardia by right ventricular endocardial pacing but not by left ventricular epicardial pacing. Journal of Electrocardiology 6(4): 345-351, 1973

Beta-adrenergic blockade in the treatment of exercise-induced paroxysmal ventricular tachycardia. Circulation 32(5): 778-781, 1965

Recurrent ventricular fibrillation treated with countershocks, bretylium tosylate, and rapid cardiac pacing. New York State Journal of Medicine 72(21): 2659-2663, 1972