Permanent Pervenous Atrial Pacing from the Coronary Vein

Author:

KRAMER DAVID H.1,MOSS ARTHUR J.1

Affiliation:

1. From the Cardiology Unit, Department of Medicine, University of Rochester School of Medicine and Dentistry, and the Medical Clinics of Strong Memorial Hospital, Rochester, New York.

Abstract

Permanent pervenous atrial pacing from the coronary vein has been attempted in 14 patients. Several types of arrhythmias including symptomatic bradycardia, "bradytachy" syndrome, and refractory ventricular tachyarrhythmia-fibrillation have been successfully treated with pervenous atrial pacing in 10 patients for 1 to 30 mo. Longterm atrial pacing was unsuccessful in four patients; in two of these four this was due to high atrial pacing thresholds. To date there has been no evidence of pacemaker perforation or pacemaker-induced coronary vein thrombosis. It is concluded that permanent pervenous atrial pacing from the coronary vein is a reliable method of atrial pacing without resorting to thoracotomy.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference4 articles.

1. THE SUPPRESSION OF ARRHYTHMIAS BY ARTIFICIAL PACEMAKING

2. Pacemaker stimulation in ventricular paroxysmal tachycardia;Acta Chir Scandl',1964

3. Paroxysmal ventricular tachycardia and fibrillation without complete heart block

4. com.atypon.pdfplus.internal.model.plusxml.impl.AuthorGroup@3d2addaa : Treatment of supraventricular tachycardias with catheter and VEN TRICULAR DEMAND fPCING CORONARY VEIN

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