Increase in ventricular tachycardia frequency after biventricular implantable cardioverter defibrillator upgrade

被引:62
作者
Guerra, JM [1 ]
Wu, JY [1 ]
Miller, JM [1 ]
Groh, WJ [1 ]
机构
[1] Indiana Univ, Sch Med, Krannert Inst Cardiol, Cardiovasc Div,Dept Med, Indianapolis, IN 46202 USA
关键词
cardiac resynchronization therapy; left ventricular pacing; implantable cardioverter defibrillator; ventricular tachycardia;
D O I
10.1046/j.1540-8167.2003.03303.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report the case of a patient in whom transvenous left ventricular pacing lead placement at the time of a biventricular upgrade led to an exacerbation of clinical monomorphic ventricular tachycardia (MVT). At implant, slow left ventricular pacing repeatedly induced sustained MVT. However, testing of the biventricular pacing showed no MVT inducibility, and the system was implanted. The patient was readmitted due to multiple episodes of the MVT observed at implant. The MVT was controlled with pharmacotherapy, allowing the patient to continue with biventricular pacing.
引用
收藏
页码:1245 / 1247
页数:3
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