BIOMAT Database Logo BIOMAT Database Logo

Pacemaker and defibrillator combination therapy for recurrent ventricular tachycardia. 1990

M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
Department of Cardiology, Cleveland Clinic Foundation, One Clinic Center, Ohio 44195.

The judicious use of antitachycardia pacemakers can enhance the benefits of automatic implantable cardioverter defibrillators in certain patients. Both devices were implanted in 10 highly selected patients with drug-refractory pace-terminable sustained ventricular tachycardia. During the observation period of 8 +/- 4.8 months, the automatic pacemakers detected 1,542 episodes of ventricular tachycardia and appropriately managed 1,373. The automatic implantable defibrillator was activated at least once in every patient; on two documented occasions, the defibrillator discharged because the automatic pacemaker accelerated the tachycardia. Concomitant antiarrhythmic drugs could be reduced but not withdrawn. With meticulous device programming and testing, the two systems in combination can work synergistically to manage malignant ventricular arrhythmias in carefully selected patients.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010138 Pacemaker, Artificial A device designed to stimulate, by electric impulses, contraction of the heart muscles. It may be temporary (external) or permanent (internal or internal-external). Cardiac Pacemaker, Artificial,Artificial Cardiac Pacemaker,Artificial Cardiac Pacemakers,Artificial Pacemaker,Artificial Pacemakers,Cardiac Pacemakers, Artificial,Pacemaker, Artificial Cardiac,Pacemakers, Artificial,Pacemakers, Artificial Cardiac
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D003131 Combined Modality Therapy The treatment of a disease or condition by several different means simultaneously or sequentially. Chemoimmunotherapy, RADIOIMMUNOTHERAPY, chemoradiotherapy, cryochemotherapy, and SALVAGE THERAPY are seen most frequently, but their combinations with each other and surgery are also used. Multimodal Treatment,Therapy, Combined Modality,Combined Modality Therapies,Modality Therapies, Combined,Modality Therapy, Combined,Multimodal Treatments,Therapies, Combined Modality,Treatment, Multimodal,Treatments, Multimodal
D003327 Coronary Disease An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels. Coronary Heart Disease,Coronary Diseases,Coronary Heart Diseases,Disease, Coronary,Disease, Coronary Heart,Diseases, Coronary,Diseases, Coronary Heart,Heart Disease, Coronary,Heart Diseases, Coronary
D004554 Electric Countershock An electrical current applied to the HEART to terminate a CARDIAC ARRHYTHMIA. Cardiac Electroversion,Cardioversion,Defibrillation, Electric,Electroversion, Cardiac,Electrical Cardioversion,Electroversion Therapy,Therapy, Electroversion,Cardiac Electroversions,Cardioversion, Electrical,Cardioversions,Cardioversions, Electrical,Countershock, Electric,Countershocks, Electric,Defibrillations, Electric,Electric Countershocks,Electric Defibrillation,Electric Defibrillations,Electrical Cardioversions,Electroversion Therapies,Electroversions, Cardiac,Therapies, Electroversion
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006352 Heart Ventricles The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation. Cardiac Ventricle,Cardiac Ventricles,Heart Ventricle,Left Ventricle,Right Ventricle,Left Ventricles,Right Ventricles,Ventricle, Cardiac,Ventricle, Heart,Ventricle, Left,Ventricle, Right,Ventricles, Cardiac,Ventricles, Heart,Ventricles, Left,Ventricles, Right
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
Combination of antitachycardia pacemaker and automatic implantable cardioverter/defibrillator for ventricular tachycardia.
September 1986, Pacing and clinical electrophysiology : PACE,
M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
[Combination use of an automatic anti-tachycardia pacemaker and an automatic implantable cardioverter-defibrillator in sustained recurrent ventricular tachycardia resistant to drugs].
October 1989, Giornale italiano di cardiologia,
M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
Inappropriate shock therapy for nonsustained ventricular tachycardia in a dual chamber pacemaker defibrillator.
October 1998, Pacing and clinical electrophysiology : PACE,
M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
A patient-activated radio frequency pacemaker system: therapy for recurrent ventricular tachycardia.
September 1982, The Journal of pediatrics,
M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
[Combined anti-bradycardia/anti-tachycardia pacemaker-cardioverter-defibrillator systems in patients with recurrent ventricular tachyarrhythmias].
November 1991, Zeitschrift fur Kardiologie,
M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
Permanent antitachycardia pacemaker therapy for ventricular tachycardia.
August 1989, Pacing and clinical electrophysiology : PACE,
M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
[Treatment of chronic recurrent ventricular tachycardia by pacemaker implantation].
January 1974, Coeur et medecine interne,
M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
Recurrent ventricular tachycardia induced by an atrial synchronous ventricular-inhibited pacemaker.
July 1982, Pacing and clinical electrophysiology : PACE,
M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
Scanning pacemaker for ventricular tachycardia.
January 1988, The Journal of the Kentucky Medical Association,
M Masterson, and S L Pinski, and B Wilkoff, and T W Simmons, and V A Morant, and L R Golding, and L W Castle, and J D Maloney
Automatic implantable cardioverter defibrillator: a new treatment modality for recurrent ventricular tachycardia and ventricular fibrillation.
June 1988, The Journal of the Kentucky Medical Association,
Copied contents to your clipboard!