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Management of pace-terminated ventricular arrhythmias.

Publication ,  Journal Article
Pokorney, SD; Al-Khatib, SM
Published in: Card Electrophysiol Clin
September 2015

An implantable-cardioverter defibrillator (ICD) can terminate ventricular arrhythmias by delivering a shock or by antitachycardia pacing (ATP). The ATP works by capturing the excitable gap and disrupting re-entrant ventricular arrhythmias. Multiple studies have demonstrated that ATP is successful at terminating ventricular tachycardia (VT). Shocks from the ICD are associated with higher mortality. The data are conflicting about whether appropriate ATP is associated with higher mortality. In a patient with VT that is treated by ATP, the patient's guideline-based heart failure medications should be maximized. The use of VT ablation after appropriate and successful ATP requires additional studies.

Duke Scholars

Published In

Card Electrophysiol Clin

DOI

EISSN

1877-9190

Publication Date

September 2015

Volume

7

Issue

3

Start / End Page

497 / 513

Location

United States

Related Subject Headings

  • Ventricular Fibrillation
  • Tachycardia, Ventricular
  • Middle Aged
  • Male
  • Humans
  • Female
  • Defibrillators, Implantable
  • Death
  • Cardiac Pacing, Artificial
  • Aged
 

Citation

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ICMJE
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Pokorney, S. D., & Al-Khatib, S. M. (2015). Management of pace-terminated ventricular arrhythmias. Card Electrophysiol Clin, 7(3), 497–513. https://doi.org/10.1016/j.ccep.2015.05.009
Pokorney, Sean D., and Sana M. Al-Khatib. “Management of pace-terminated ventricular arrhythmias.Card Electrophysiol Clin 7, no. 3 (September 2015): 497–513. https://doi.org/10.1016/j.ccep.2015.05.009.
Pokorney SD, Al-Khatib SM. Management of pace-terminated ventricular arrhythmias. Card Electrophysiol Clin. 2015 Sep;7(3):497–513.
Pokorney, Sean D., and Sana M. Al-Khatib. “Management of pace-terminated ventricular arrhythmias.Card Electrophysiol Clin, vol. 7, no. 3, Sept. 2015, pp. 497–513. Pubmed, doi:10.1016/j.ccep.2015.05.009.
Pokorney SD, Al-Khatib SM. Management of pace-terminated ventricular arrhythmias. Card Electrophysiol Clin. 2015 Sep;7(3):497–513.
Journal cover image

Published In

Card Electrophysiol Clin

DOI

EISSN

1877-9190

Publication Date

September 2015

Volume

7

Issue

3

Start / End Page

497 / 513

Location

United States

Related Subject Headings

  • Ventricular Fibrillation
  • Tachycardia, Ventricular
  • Middle Aged
  • Male
  • Humans
  • Female
  • Defibrillators, Implantable
  • Death
  • Cardiac Pacing, Artificial
  • Aged