Document Detail


Ventricular tachycardia/fibrillation: therapeutic alternatives.
MedLine Citation:
PMID:  1706855     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is now clear that no single therapy is appropriate for a consecutive series of patients with ventricular tachycardia or ventricular fibrillation (VT/VF). Drug responders by electrophysiological studies, patients who are not inducible following surgery, and patients treated with an implantable cardioverter defibrillator (ICD) all can have similarly low sudden death rates and virtually identical long-term mortality. However, many patients fail to respond to drugs, and surgical risks are excessive in others, and always higher than for an ICD implant. Nevertheless, overall survival in each of these groups (and probably for patients treated with antitachycardia pacers and ablation) is about 60% at 60 months. Major challenges now are: (1) choosing therapy to maximize risk-benefit ratio; and (2) treatment of the pump failure and progressive disease that now accounts for most cardiac mortality.
Authors:
J D Fisher; S G Kim; J A Roth; K J Ferrick; R F Brodman; J N Gross; S Furman
Related Documents :
3088555 - Syncope. cost-effective patient workup.
2293955 - Diagnosis of traumatic cardiac contusion utilizing single photon-emission computed tomo...
14760315 - Long-term care of the patient with the atrial defibrillator.
10090215 - Heterogeneous changes in electrophysiologic properties in the paroxysmal and chronicall...
10881775 - Blood pressure in acute vaso-occlusive crises of sickle cell disease.
17320735 - Results of chiropractic treatment of lumbopelvic fixation in 44 patients admitted to an...
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  14     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-04-29     Completed Date:  1991-04-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  370-5     Citation Subset:  IM    
Affiliation:
Department of Medicine, Montefiore Medical Center, Bronx, New York 10467.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anti-Arrhythmia Agents / therapeutic use
Combined Modality Therapy
Electric Countershock / instrumentation
Electrocoagulation
Humans
Pacemaker, Artificial
Prostheses and Implants
Tachycardia / therapy*
Ventricular Fibrillation / therapy*
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents

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


Previous Document:  Relationship between QT interval duration and electrical induction of ventricular tachycardia.
Next Document:  Implantable pharmacological defibrillator (AIPhD): preliminary investigations in animals.