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The use of external, noninvasive pacing for the termination of ventricular tachycardia in the emergency department setting

✍ Scribed by Blair P Grubb; Peter Temesy-Armos; Harry Hahn; Laura Elliott

Publisher: Elsevier Science
Year: 1992
Tongue: English
Weight: 231 KB
Volume: 21
Category: Article
ISSN: 1097-6760
DOI: 10.1016/s0196-0644(05)80160-x

No coin nor oath required. For personal study only.

✦ Synopsis

Study objective: To determine the potential usefulness of external cardiac pacing for the termination of sustained ventricular tachycardia in the emergency department setting.

Type of participants: Five men and one woman (mean age, 57 years) who presented to the ED with a wide-complex, hemodynamically stable tachycardia that was later proven to be ventricular in origin.

Intervention: Each patient underwent external overdrive pacing using a modified external pacemaker at a pulse amplitude of 120 mA and a rate of 200 pulses per minute.

Results: In all six patients, external cardiac pacing was able to successfully terminate tachycardia without complication.

Conclusion:

We conclude that external noninvasive pacing may be an effective means of terminating ventricular tachycardia in the ED setting. [Grubb BP, Temesy-Armos P, Hahn H, Elliott L: The use of external noninvasive pacing for the termination of ventricular tachycardia in the emergency department setting. Ann Emerg Med

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