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Synchronous intracardiac cardioversion.

D P Zipes, J J Heger, W M Miles

    Pacing and Clinical Electrophysiology : PACE
    |May 1, 1984
    PubMed
    Summary
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    Synchronous transvenous cardioversion effectively treats sustained ventricular tachycardia. This review covers animal studies, patient trials, and permanent implantation outcomes, demonstrating its therapeutic potential.

    Area of Science:

    • Cardiology
    • Electrophysiology
    • Medical Devices

    Background:

    • Sustained ventricular tachycardia (VT) poses a significant risk of sudden cardiac death.
    • Current treatment options for VT have limitations, necessitating novel approaches.

    Purpose of the Study:

    • To discuss the concept of synchronous transvenous cardioversion for sustained ventricular tachycardia.
    • To review the existing evidence and outcomes of this therapeutic strategy.

    Main Methods:

    • Review of animal experimental data.
    • Analysis of initial and collective patient studies.
    • Evaluation of permanent implantation results in clinical practice.

    Main Results:

    • Animal studies provided foundational data on the feasibility of the technique.

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  • Patient studies demonstrated the efficacy of synchronous transvenous cardioversion in terminating VT.
  • Successful permanent implantation in two patients suggests long-term therapeutic viability.

    • Conclusions:

    • Synchronous transvenous cardioversion is a viable therapeutic option for managing sustained ventricular tachycardia.
    • Further research and clinical application are warranted to fully establish its role in arrhythmia management.