Document Detail


Frequent recurrent polymorphic ventricular tachycardia during sleep due to managed ventricular pacing.
MedLine Citation:
PMID:  20025716     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of a patient with an implantable cardioverter defibrillator and no prior history of heart block with managed ventricular pacing (MVP) programmed who had frequent recurrent episodes of polymorphic ventricular tachycardia. All of the episodes were initiated by transient atrioventricular block which resulted in short-long-short sequences permitted by MVP. This case illustrates that MVP should be used with caution not only in patients with complete heart block, but also in patients at risk for brief heart block due to such states as hypervagatonia due to sleep apnea.
Authors:
Christos Vavasis; David J Slotwiner; Bruce G Goldner; Jim W Cheung
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-12-18
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  33     ISSN:  1540-8159     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-06-15     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  641-4     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Long Island Jewish Medical Center, New Hyde Park, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Atrioventricular Block / etiology,  physiopathology*
Cardiac Pacing, Artificial*
Defibrillators, Implantable
Humans
Male
Middle Aged
Recurrence
Sleep*
Sleep Apnea, Obstructive / physiopathology*
Tachycardia, Ventricular / etiology,  physiopathology*
Treatment Outcome
Ventricular Fibrillation / etiology,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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