Paradoxical Use of a Demand Pacemaker in Treatment of Supraventricular Tachycardia Due to the Wolff-Parkinson-White Syndrome-Reference-Cited by-同舟云学术

Paradoxical Use of a Demand Pacemaker in Treatment of Supraventricular Tachycardia Due to the Wolff-Parkinson-White Syndrome

Published:1968-12 Issue:6 Volume:38 Page:1037-1043
ISSN:0009-7322
Container-title:Circulation
language:en
Short-container-title:Circulation

Author:

RYAN GERALD F.¹,EASLEY ROBERT M.¹,ZAROFF LAWRENCE I.¹,GOLDSTEIN SIDNEY¹

Affiliation:

1. From the Cardiology Section, Rochester General Hospital, and the Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York. Dr. Easley was the recipient of support from the John Sable Heart Fund.

Abstract

This paper describes a new technique for terminating attacks of supraventricular tachycardia in a patient with Wolff-Parkinson-White syndrome by using a demand pacemaker. The circuitry of this demand pacemaker generator is designed so that a magnet held near the generator converts the unit from demand to fixed mode at a pre-set discharge rate of 72/min. During an attack of tachycardia, a magnet held near the generator pocket activates a fixed rate discharge and produces competitive pacing. Retrograde atrial depolarization occurs with resultant reversion to sinus rhythm.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Link

https://www.ahajournals.org/doi/pdf/10.1161/01.CIR.38.6.1037

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