Successful treatment of a supraventricular re-entry tachycardia in a patient with WPW and sick-sinus syndrome with permanent rapid atrial and QRS-inhibited ventricular pacemaker stimulation (author's transl)

A supraventricular re-entry tachycardia was successfully treated in a patient with WPW and sick-sinus syndrome by permanent rapid atrial pacing and ventricular demand pacing. The use of a demand pacemaker with bipolar electrode avoided slow ventricular rates resulting from second degree A-V block du...

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Bibliographic Details
Published inDeutsche medizinische Wochenschrift Vol. 102; no. 10; p. 351
Main Authors Neumann, G, Funke, H, Wagner, J, Simon, H, Aulepp, H, Richter, R, Schaede, A
Format Journal Article
LanguageGerman
Published Germany 11.03.1977
Subjects
Electrocardiography
Heart Atria
Heart Block - therapy
Heart Ventricles
Humans
Male
Middle Aged
Pacemaker, Artificial - methods
Sinoatrial Node
Tachycardia - complications
Tachycardia - therapy
Time Factors
Wolff-Parkinson-White Syndrome - complications
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Summary:A supraventricular re-entry tachycardia was successfully treated in a patient with WPW and sick-sinus syndrome by permanent rapid atrial pacing and ventricular demand pacing. The use of a demand pacemaker with bipolar electrode avoided slow ventricular rates resulting from second degree A-V block during rapid atrial pacing. The trigger system of this pacemaker was not disturbed by unipolar atrial stimulation. Ventricular rates responded satisfactorily to physical and to emotional stress as a result of improved A-V conduction in these circumstances. Rapid atrial pacing has prevented the re-entry tachycardia. In an emergency the atrial pacemaker can be inhibited by a magnet, but otherwise discharges permanently at a constant rapid rate.
ISSN:0012-0472