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November 1, 1991Pacing and Clinical Electrophysiology

Entrainment of Ventricular Tachycardia in Arrhythmogenic Right Ventricular Tachycardia

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Why the study?

Does overdrive pacing entrain ventricular tachycardia in patients with arrhythmogenic right ventricular dysplasia?

Population

2 patients with arrhythmogenic right ventricular dysplasia (ARVD) and sustained ventricular tachycardia (VT)

Design

Case_series

Authors

YAYoshifusa AizawaElectrophysiologyTFToshikazu FunazakiNoguchi HospitalMTMasashi TakahashiKagoshima University

Discussion

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Implication

Supports reentry mechanism in ARVD VT; leaves open generalizability beyond these cases.

Structured PICO

Does overdrive pacing entrain ventricular tachycardia in patients with arrhythmogenic right ventricular dysplasia?

P
Population
2 patients with arrhythmogenic right ventricular dysplasia (ARVD) and sustained ventricular tachycardia (VT)
I
Intervention
Overdrive pacing during programmed stimulation
O
Outcome
Entrainment of ventricular tachycardia (constant fusion in the QRS complex)surrogate

Overdrive pacing can entrain ventricular tachycardia in patients with ARVD, suggesting reentry is the underlying mechanism.

Cite This Study

Aizawa et al. (1991) studied this question.

synapsesocial.com/papers/6a163f0cf508cb2fcbc1f027https://doi.org/10.1111/j.1540-8159.1991.tb02736.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Quantitative analysis of the signal-averaged QRS in patients with arrhythmogenic right ventricular dysplasia1988 · 78 citations
  2. 2A long term follow up of 15 patients with arrhythmogenic right ventricular dysplasia.1987 · 192 citations
  3. 3Cardiac Electrophysiology: From Cell to Bedside1991 · 2,392 citations
  4. 4Arrhythmia patterns in athletes with arrhythmogenic right ventricular dysplasia1989 · 44 citations
  5. 5Resetting of ventricular tachycardia: Implications for localizing the area of slow conduction1988 · 85 citations