PT - JOURNAL ARTICLE AU - McCowan, Ronald AU - Wilkoff, Bruce L. AU - McAlister, Hugh AU - Simmons, Tony W. TI - Catheter ablation for recurrent ventricular tachycardia DP - 1992 Mar 01 TA - Cleveland Clinic Journal of Medicine PG - 203--207 VI - 59 IP - 2 4099 - http://www.ccjm.org/content/59/2/203.short 4100 - http://www.ccjm.org/content/59/2/203.full SO - Cleve Clin J Med1992 Mar 01; 59 AB - A 78-year-old man had sustained ventricular tachycardia refractory to drug therapy. An antitachycardia pacemaker and a cardioverter-defibrillator were implanted. It was suspected that rate crossover was occurring between his sinus rhythm and his antitachycardia pacemaker detection rate. He also had frequent discharges from his implantable cardioverter-defibrillator. Because of these problems, he was considered a candidate for catheter ablation treatment of his ventricular tachycardia. The procedure was completed successfully and long-term follow-up has been uneventful. Catheter ablation is recommended as a treatment option for patients who have ventricular tachycardia that is refractory to drug therapy and combined-device therapy, and who have rate crossover.