Why the study?
Does surgical treatment (Kent bundle division or atrial pacemaker implantation) improve outcomes in patients with tachyarrhythmias?
Does surgical treatment (Kent bundle division or atrial pacemaker implantation) improve outcomes in patients with tachyarrhythmias?
Surgical division of the Kent bundle and R-F atrial pacemaker implantation demonstrated efficacy in treating specific tachyarrhythmias in this early case series.
As a treatment for tachyarrhythmia, we have experienced 3 cases of Kent bundle division for WPW syndrome and 7 cases for implantation of atrial pacemaker. In two cases of Kent bundle division for A type and B type WPW syndrome, reappearance of premature supraventricular tachycardia was noticed but with less frequency and in number. A case of B type was cured surgically. Seven cases (including a case with elapse of 6 years) implanted with R-F atrial pacemaker termination of tachyarrhythmia resulted by rapid atrial pacing for 10 seconds.
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Shoji et al. (1978) studied this question.
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