Control of Refractory Ventricular Tachycardia with Biventricular Assist Devices
A 65‐year‐old man developed incessant ventricular tachycardia following coronary artery bypass grafting while being weaned from cardiopulmonary bypass. The arrhythmia was refractory to procainamide, lidocaine, bretylium, and magnesium. Ventricular tachycardia subsided following reinitiation of cardi...
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Veröffentlicht in: | Pacing and clinical electrophysiology 1991-09, Vol.14 (9), p.1432-1434 |
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creator | GEANNOPOULOS, CHRIS J. WILDER, DAVID J. OLSHANSKY, BRIAN |
description | A 65‐year‐old man developed incessant ventricular tachycardia following coronary artery bypass grafting while being weaned from cardiopulmonary bypass. The arrhythmia was refractory to procainamide, lidocaine, bretylium, and magnesium. Ventricular tachycardia subsided following reinitiation of cardiopulmonary bypass. Ultimately, the patient required ventricular assist devices to control his arrhythmia. This case is unique as the ventricular assist devices were used not for hemodynamic support, but for arrhythmia control. The mechanism of arrhythmia suppression may be related to contraction‐excitation coupling. |
doi_str_mv | 10.1111/j.1540-8159.1991.tb02889.x |
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The arrhythmia was refractory to procainamide, lidocaine, bretylium, and magnesium. Ventricular tachycardia subsided following reinitiation of cardiopulmonary bypass. Ultimately, the patient required ventricular assist devices to control his arrhythmia. This case is unique as the ventricular assist devices were used not for hemodynamic support, but for arrhythmia control. 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The arrhythmia was refractory to procainamide, lidocaine, bretylium, and magnesium. Ventricular tachycardia subsided following reinitiation of cardiopulmonary bypass. Ultimately, the patient required ventricular assist devices to control his arrhythmia. This case is unique as the ventricular assist devices were used not for hemodynamic support, but for arrhythmia control. The mechanism of arrhythmia suppression may be related to contraction‐excitation coupling.</description><subject>Aged</subject><subject>Anti-Arrhythmia Agents - therapeutic use</subject><subject>Cardiopulmonary Bypass</subject><subject>contraction-excitation coupling</subject><subject>Coronary Artery Bypass</subject><subject>Electrocardiography</subject><subject>Heart-Assist Devices</subject><subject>Humans</subject><subject>Male</subject><subject>Myocardial Infarction - surgery</subject><subject>Postoperative Complications - therapy</subject><subject>Tachycardia - etiology</subject><subject>Tachycardia - therapy</subject><subject>ventricular assist device</subject><subject>ventricular tachycardia</subject><issn>0147-8389</issn><issn>1540-8159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE1LAzEQhoMotX78BGHx4G3XZDdpEk_WqlVQq1IreAlpdoKpW1eTbW3_vVu2qFfnkIG8M8_Ag9AhwQmp63iSEEZxLAiTCZGSJNUYp0LIZLGB2j_RJmpjQnksMiG30U4IE4xxB1PWQi3CU8wy3kaDXvle-bKIShs9gvXaVKVfRiOof52ZFdpHQ21el0b73Onoy1Wv0Zmb_4m7IbhQRecwdwbCHtqyugiwv-676OnyYti7im8G_ete9yY2FMs01oTk1jIjOtIyi7kAjnOWjTFQTjhYiSEfC5NJTIkwjJOUgslzRgQYzbjJdtFRw_3w5ecMQqWmLhgoCv0O5SwonlJJ66cePGkGjS9D8GDVh3dT7ZeKYLWyqSZqpUytlKmVTbW2qRb18sH6ymw8hfx3tdFX56dN_uUKWP6DrO67vQtCs7RGxA2ilgiLH4T2b6rDM87U811fSUnT9Hb0oF6yb_z6lVA</recordid><startdate>199109</startdate><enddate>199109</enddate><creator>GEANNOPOULOS, CHRIS J.</creator><creator>WILDER, DAVID J.</creator><creator>OLSHANSKY, BRIAN</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199109</creationdate><title>Control of Refractory Ventricular Tachycardia with Biventricular Assist Devices</title><author>GEANNOPOULOS, CHRIS J. ; WILDER, DAVID J. ; OLSHANSKY, BRIAN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4092-a11dff5c869f5f078e70d53b0e4717ef90edb8c390418c57124ecdd518eca57c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Aged</topic><topic>Anti-Arrhythmia Agents - therapeutic use</topic><topic>Cardiopulmonary Bypass</topic><topic>contraction-excitation coupling</topic><topic>Coronary Artery Bypass</topic><topic>Electrocardiography</topic><topic>Heart-Assist Devices</topic><topic>Humans</topic><topic>Male</topic><topic>Myocardial Infarction - surgery</topic><topic>Postoperative Complications - therapy</topic><topic>Tachycardia - etiology</topic><topic>Tachycardia - therapy</topic><topic>ventricular assist device</topic><topic>ventricular tachycardia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GEANNOPOULOS, CHRIS J.</creatorcontrib><creatorcontrib>WILDER, DAVID J.</creatorcontrib><creatorcontrib>OLSHANSKY, BRIAN</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pacing and clinical electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GEANNOPOULOS, CHRIS J.</au><au>WILDER, DAVID J.</au><au>OLSHANSKY, BRIAN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Control of Refractory Ventricular Tachycardia with Biventricular Assist Devices</atitle><jtitle>Pacing and clinical electrophysiology</jtitle><addtitle>Pacing Clin Electrophysiol</addtitle><date>1991-09</date><risdate>1991</risdate><volume>14</volume><issue>9</issue><spage>1432</spage><epage>1434</epage><pages>1432-1434</pages><issn>0147-8389</issn><eissn>1540-8159</eissn><abstract>A 65‐year‐old man developed incessant ventricular tachycardia following coronary artery bypass grafting while being weaned from cardiopulmonary bypass. The arrhythmia was refractory to procainamide, lidocaine, bretylium, and magnesium. Ventricular tachycardia subsided following reinitiation of cardiopulmonary bypass. Ultimately, the patient required ventricular assist devices to control his arrhythmia. This case is unique as the ventricular assist devices were used not for hemodynamic support, but for arrhythmia control. The mechanism of arrhythmia suppression may be related to contraction‐excitation coupling.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>1720537</pmid><doi>10.1111/j.1540-8159.1991.tb02889.x</doi><tpages>3</tpages></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | Aged Anti-Arrhythmia Agents - therapeutic use Cardiopulmonary Bypass contraction-excitation coupling Coronary Artery Bypass Electrocardiography Heart-Assist Devices Humans Male Myocardial Infarction - surgery Postoperative Complications - therapy Tachycardia - etiology Tachycardia - therapy ventricular assist device ventricular tachycardia |
title | Control of Refractory Ventricular Tachycardia with Biventricular Assist Devices |
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