Incessant ventricular tachycardia
Germano, J.J.; Padmanabhan, V.T.; Cohen, T.J.
Journal of Invasive Cardiology 14(6): 354-357
2002
ISSN/ISBN: 1042-3931 PMID: 12042632 Document Number: 543533
The case of an 87-year-old woman with a significant history of coronary artery disease illustrates the challenge associated with intractable ventricular tachycardias, and demonstrates the various options available for terminating and controlling the potentially fatal arrhythmia. A favorable outcome was obtained using advanced cardiac life support guidelines, current pharmacological regimens, ventricular burst pacing with overdrive suppression, intra-aortic balloon counterpulsation, coronary revascularization and implantable cardioverter-defibrillator insertion. These modalities, as well as other therapeutic alternatives, are discussed in the management of incessant ventricular tachycardia.