Continuous rapid atrial pacing to control recurrent or sustained supraventricular tachycardias following open heart surgery.
Why the study?
Does continuous rapid atrial pacing control recurrent or sustained supraventricular tachycardias following open heart surgery?
Population
Patients with recurrent or sustained supraventricular tachycardia associated with rapid ventricular rates…
Design
Case_series
Authors
Discussion
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Member takes
Implication
May support temporary epicardial pacing for post-surgical SVT; leaves open confirmation in controlled trials.
Structured PICO
Does continuous rapid atrial pacing control recurrent or sustained supraventricular tachycardias following open heart surgery?
P
Population
Patients with recurrent or sustained supraventricular tachycardia (including atrial flutter, paroxysmal atrial tachycardia, ectopic atrial tachycardia, or sinus rhythm with premature atrial beats) associated with rapid ventricular rates following open heart surgery.
I
Intervention
Continuous rapid atrial pacing (e.g., at 450 beats/min) using temporarily implanted atrial epicardial wire electrodes, with or without digitalis.
O
Outcome
Suppression of supraventricular tachycardia and maintenance of ventricular response rate in a therapeutically desirable rangesurrogate
Continuous rapid atrial pacing via temporary epicardial electrodes is an effective technique to control supraventricular tachycardias and slow ventricular rates following open heart surgery.
Cite This Study
Waldo et al. (1976) studied this question.