Predicting ventricular tachycardia cycle length after procainamide by assessing cycle length-dependent changes in paced QRS duration.
نویسندگان
چکیده
منابع مشابه
Predicting ventricular tachycardia cycle length after procainamide by assessing cycle length-dependent changes in paced QRS duration.
To determine if paced cycle length-dependent changes in the QRS duration correlate with the change in ventricular tachycardia (VT) cycle length after procainamide, we measured the QRS duration during sinus rhythm and during right ventricular pacing before and after procainamide (mean concentration, 9.9 micrograms/ml) in 18 patients with morphologically identical VT induced at both study periods...
متن کاملProcainamide-induced changes in reentrant ventricular tachycardia with special reference to the tachycardia-interrupting critical paced cycle length during transient entrainment with rapid pacing.
With rapid ventricular pacing, sustained ventricular tachycardia (VT) is often entrained and interrupted at a critical paced cycle length. In this paper, the possible mechanism and determinant of the critical cycle length interrupting VT are addressed. Sixteen consecutive patients underwent rapid ventricular pacing in 18 morphologically distinct sustained VTs before and after procainamide. The ...
متن کاملSupraventricular tachycardia with alternating QRS morphology and cycle length
The presence of a single atrioventricular (AV) node and accessory pathway associated with tachycardia is common. However, tachycardia with alternating QRS morphology and cycle length is uncommon, and may indicate the presence of a double loop. We reported the case of a 45-year-old man with tachycardia and continually alternating QRS morphology and cycle length. The man with intermittent palpita...
متن کاملUse-dependent prolongation of ventricular tachycardia cycle length by type I antiarrhythmic drugs in humans.
BACKGROUND Type I antiarrhythmic drugs block the cardiac sodium channel in a use-dependent fashion. This use-dependent behavior causes increased drug binding and consequently increased sodium channel blockade at faster stimulation rates. Importantly, the kinetics of drug association and dissociation from the sodium channel differ for each type I antiarrhythmic drug. METHODS AND RESULTS Thirty...
متن کاملCycle length alternation in supraventricular tachycardia after administration of verapamil.
Four patients are reported in whom alternation ofRR cycle length before reversion to sinus rhythm occurred during the administration of intravenous verapamil. In 2 of these 4 patients, alternation of cycle lengths was associated with a changing QRS morphology. It is suggested that one patient had a reciprocating tachycardia using dual AV nodal pathways. The alternating cycle lengths in response...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Circulation
سال: 1989
ISSN: 0009-7322,1524-4539
DOI: 10.1161/01.cir.79.1.39