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Long‐term Reproducibility of Response to Noninvasive Programmed Cardiac Stimulation in Spontaneous, Sustained Ventricular Tachycardia Treated with Amiodarone Therapy

 

作者: CARLO MENOZZI,   MICHELE BRIGNOLE,   GINO LOLLI,   MIRKA BACCHI,   IGOR MONDUCCI,   BRUNO SARTORE,   MAURO BARRA,  

 

期刊: Journal of Cardiovascular Electrophysiology  (WILEY Available online 1991)
卷期: Volume 2, issue 1  

页码: 30-36

 

ISSN:1045-3873

 

年代: 1991

 

DOI:10.1111/j.1540-8167.1991.tb01710.x

 

出版商: Blackwell Publishing Ltd

 

关键词: ventricular tachycardia;noninvasive programmed stimulation;amiodarone therapy

 

数据来源: WILEY

 

摘要:

A total of 73 noninvasive serial electrophysiological studies were carried out in 12 patients with spontaneous sustained ventricular tachycardia, inducible in spite of chronic treatment with amiodarone, in order to verify the effect of this drug on the long‐term reproducibility of the test. A ventricular tachycardia was induced in 72 of 73 times; in 59% of cases, the clinical form was induced. In 8 of 12 patients, two or more types or morphologies of ventricular tachycardia could be induced. The induction modes (driving rate and number of extrastimuli) changed considerably in different studies. During a follow‐up of 12 ± 6 months, 5 out of 12 patients had spontaneous relapses. We observed no differences between these patients and the others regarding inducibility, types and morphologies of the induced tachycardias, or induction modes. Therefore, when ventricular tachycardia is inducible in spite of chronic amiodarone therapy, it is always inducible during follow‐up, even if a great intrapatient change of type and the morphology of induced tachycardias and induction modes is observed. However, since similar electrophysiological features are present in patients with and without spontaneous recurrence of ventricular tachycardia, serial electrophysiological studies are of little value in predicting the clinical o

 

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