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Related Experiment Videos

[Endocardial cardioversion--a new method for treating recurrent ventricular tachycardia].

V Hombach, H W Höpp, D W Behrenbeck

    Deutsche Medizinische Wochenschrift (1946)
    |September 21, 1984
    PubMed
    Summary

    Endocardial cardioversion effectively terminates ventricular tachycardia using low-energy microshocks. This safe and successful method offers an alternative for patients unresponsive to other treatments.

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    [Heart failure].

    Zeitschrift fur arztliche Fortbildung und Qualitatssicherung·2003

    Area of Science:

    • Cardiology
    • Electrophysiology

    Context:

    • Ventricular tachycardia (VT) poses a significant risk, often requiring invasive interventions.
    • Current treatments for VT include anti-tachycardic pacing and external defibrillation.
    • Investigating novel, less invasive methods for VT termination is crucial.

    Purpose:

    • To evaluate the efficacy and safety of endocardial cardioversion for terminating ventricular tachycardia.
    • To determine the threshold energy required for successful endocardial cardioversion of VT.
    • To assess the suitability of endocardial cardioversion for supraventricular tachyarrhythmias.

    Summary:

    • Endocardial cardioversion was tested in 17 patients with ventricular tachycardia, delivering microshocks via a right ventricular catheter.
    • Successful reversion to sinus rhythm occurred in 26 of 33 VT episodes, with an average threshold of 0.77 J.

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  • The procedure was effective and safe for VT termination, even in patients refractory to pacing, but not suitable for supraventricular arrhythmias.

    • Impact:

    • Endocardial cardioversion presents a safe and effective alternative for terminating ventricular tachycardia.
    • This technique may be particularly beneficial for patients who do not respond to conventional therapies.
    • Further research could refine endocardial cardioversion for broader applications in arrhythmia management.