Why the study?
Can the rate response feature be used for patient-initiated cardioversion of intraatrial reentrant tachycardia in patients with complex congenital heart disease?
Can the rate response feature be used for patient-initiated cardioversion of intraatrial reentrant tachycardia in patients with complex congenital heart disease?
The rate response feature of pacemakers may offer a novel method for patient-initiated cardioversion of intraatrial reentrant tachycardia in patients with complex congenital heart disease.
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May offer a noninvasive option for intraatrial reentrant tachycardia in complex congenital heart disease; leaves open prospective validation before adoption.
Intraatrial reentrant tachycardia (IART) is the most common long-term, surgical arrhythmia sequela in patients with complex congenital heart disease. The management of IART is challenging. Medications, catheter ablation therapy, and pacemaker therapy have all been utilized as treatment options. Slower tachycardia cycle lengths and 1:1 atrioventricular conduction provide even more challenges with regard to detection and antitachycardia pacing. We describe the use of the rate response feature as a means of patient-initiated cardioversion.
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Thomas et al. (2012) studied this question.
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