The Journal of Thoracic and Cardiovascular Surgery, Vol 72, 458-463, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Rapid overdrive pacing of refractory tachyarrhythmias in patients after open-heart surgery
AJ Lurie, AF Salel, Z Vera, AN DeMaria, EJ Hurley and DT Mason
The efficacy of rapid ventricular pacemaker overdrive in the treatment of
supraventricular and ventricular tachyarrhythmias is presented as a new
approach to the management of these rhythm disorders inpatients after
cardiac surgery. This mode of therapy is exemplified in the control of
heart rate and return of normal sinus rhythm in patients with both types of
tachyarrhythmias refractory to conventional antiarrhythmic agents. In
addition, the pathogenesis and mechanisms of pacemaker overdrive in
termination these rhythm disturbances are delineated.