Journal article
Ventricular fibrillation during programmed ventricular stimulation: Incidence and clinical implications
The American journal of cardiology, v 42(6), pp 913-918
1978
PMID: 727142
Abstract
Ventricular fibrillation occurred in 10 (3.3 percent) of 300 patients consecutively studied with programmed ventricular stimulation. One hundred twenty-five of these patients were studied with double ventricular extrastimuli including 68 patients with and 57 patients without documented or suspected ventricular tachycardia or fibrillation, or both. Ventricular fibrillation did not develop in response to a single ventricular extrastimulus delivered during sinus rhythm, ventricular pacing or ventricular tachycardia or in response to ventricular pacing at cycle lengths of 300 msec or greater and occurred only in response to double ventricular extrastimuli. All 10 patients who manifested ventricular fibrillation during programmed stimulation were in the group of patients with suspected or documented ventricular tachycardia or fibrillation. Ventricular fibrillation was initiated in seven patients with double ventricular extrastimuli delivered during sinus rhythm or ventricular pacing and in three patients with double ventricular extrastimuli delivered during ventricular tachycardia. Four patients had spontaneous conversion to sinus rhythm and the remainder underwent defibrillation without sequelae. Recurrent ventricular fibrillation occurred clinically in 7 of the 10 patients. This study suggests that ventricular fibrillation occurs uncommonly during programmed ventricular stimulation and only in response to double ventricular extrastimuli in patients in whom spontaneous episodes are likely to occur.
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Details
- Title
- Ventricular fibrillation during programmed ventricular stimulation: Incidence and clinical implications
- Creators
- Scott R. Spielman - University of PennsylvaniaArdeshir Farshidi - Hospital of the University of PennsylvaniaLeonard N. Horowitz - University of PennsylvaniaMark E. Josephson - University of Pennsylvania
- Publication Details
- The American journal of cardiology, v 42(6), pp 913-918
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:A1978GA77400004
- Scopus ID
- 2-s2.0-0018162318
- Other Identifier
- 991019340589904721