March 1, 1968Annals of Internal Medicine
Treatment of Ventricular Arrhythmia by Permanent Atrial Pacemaker and Cardiac Sympathectomy
Key result
Pacing, cardiac sympathetic denervation, and beta-blockade achieved complete suppression of ectopic ventricular foci in a patient with recurrent paroxysmal ventricular arrhythmia.
Population
A patient with recurrent paroxysmal ventricular tachycardia fibrillation (n=1)
Design
Case_report
Authors
Discussion
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Member takes
Implication
Caution against routine adoption from single case; hypothesis-generating for multimodal autonomic modulation in refractory ventricular arrhythmias.
Structured PICO
P
Population
A patient with recurrent paroxysmal ventricular tachycardia fibrillation (n=1)
I
Intervention
Permanent atrial pacemaker (pacing), cardiac sympathetic denervation, and beta-adrenergic blockade
O
Outcome
Complete suppression of the ectopic ventricular foci
A combination of pacing, cardiac sympathetic denervation, and beta-blockade successfully suppressed recurrent paroxysmal ventricular tachycardia fibrillation in a single patient.
Cite This Study
Douglas P. Zipes (1968) studied this question. Pacing, cardiac sympathetic denervation, and beta-blockade achieved complete suppression of ectopic ventricular foci in a patient with recurrent paroxysmal ventricular arrhythmia.