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European Heart Journal 1986 7(9):728-734;
Copyright © 1986 by the European Society of Cardiology.
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© 1986 The European Society of Cardiology

Role of programmed electrical stimulation of the heart in the selection and design of implantable units for the treatment of recurrent tachycardia

P. BRUGADA, K. DEN DULK, B. WALDECKER*, M. ZEHENDER{dagger} and H. J. J. WELLENS

Department of Cardiology, University of Limburg, Annadal Hospital Maastricht, The Netherlands

revised 21 April 1986; accepted 20 January 1986.

Address for correspondence: Pedro Brugada, M.D. Clinical Electrophysiology Laboratory, Department of Cardiology, University of Limburg, Annada Hospital, 6201 BX Maastricht, The Netherlands.

Abstract

The introduction of programmed electrical stimulation of the heart opened up new ways for the diagnosis and treatment of recurrent tachycardias.

Programmed stimulation not only allows study of the site of origin and mechanisms of arrhythmias, but also the evaluation of the modes of reproducible initiation and termination of tachycardia and the study of effects of drugs on the tachycardia mechanisms. By analyzing results of invasive and non-invasive programmed stimulation, the most successful pacing modality to reproducibly terminate tachycardia can be identified, but complications of pacing can also be recognized (such as the initiation of other arrhythmias).

Careful consideration of the results of programmed electrical stimulation is necessary to select the best implantable unit for a particular patient, and to design or redesign new or already implanted antitachycardia units.

Key Words: Antitachycardia pacing • electrical stimulation


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