Research Article

Dual-demand pacing for reciprocating atrioventricular tachycardia.

Br Med J 1976; 1 doi: http://dx.doi.org/10.1136/bmj.1.6018.1114 (Published 08 May 1976) Cite this as: Br Med J 1976;1:1114
  1. D Krikler,
  2. P Curry,
  3. J Buffet

    Abstract

    By using programmed electrical stimulation of the heart and studying the initiation and termination of reciprocating atrioventricular tachycardia two patients with the Wolff-Parkinson-White syndrome were shown to respond rapidly and consistently to fixed-rate pacing. A demand pacemaker was implanted in each patient, having been modified so as to switch into the fixed-rate mode whenever the tachycardia began, thereby terminating the arrhythmia. This appears to be a promising form of treatment in patients with otherwise intractable paroxysmal tachycardia who have been shown by careful study to respond in this way.