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Contributions

Pacemaker and defibrillator combination therapy for recurrent ventricular tachycardia

Martin Masterson, MB, BCH, Sergio L. Pinski, MD, Bruce Wilkoff, MD, Tony W. Simmons, MD, Victor A. Morant, MD, Leonard R. Golding, MB, BS, Lon W. Castle, MD and James D. Maloney, MD
Cleveland Clinic Journal of Medicine June 1990, 57 (4) 330-338;
Martin Masterson
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Sergio L. Pinski
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Bruce Wilkoff
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Tony W. Simmons
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Victor A. Morant
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Leonard R. Golding
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Lon W. Castle
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James D. Maloney
Department of Cardiology, The Cleveland Clinic Foundation.
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ABSTRACT

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 Concomitant antiarrhythmic drugs could be reduced but not withdrawn.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.

INDEX TERMS
  • Cardiac Pacing
  • Artificial
  • Tachycardia
  • Copyright © 1990 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 57 (4)
Cleveland Clinic Journal of Medicine
Vol. 57, Issue 4
1 Jun 1990
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Pacemaker and defibrillator combination therapy for recurrent ventricular tachycardia
Martin Masterson, Sergio L. Pinski, Bruce Wilkoff, Tony W. Simmons, Victor A. Morant, Leonard R. Golding, Lon W. Castle, James D. Maloney
Cleveland Clinic Journal of Medicine Jun 1990, 57 (4) 330-338;

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Pacemaker and defibrillator combination therapy for recurrent ventricular tachycardia
Martin Masterson, Sergio L. Pinski, Bruce Wilkoff, Tony W. Simmons, Victor A. Morant, Leonard R. Golding, Lon W. Castle, James D. Maloney
Cleveland Clinic Journal of Medicine Jun 1990, 57 (4) 330-338;
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Keywords

  • Cardiac Pacing
  • artificial
  • Tachycardia

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