Treatment of Ventricular Arrhythmia by Permanent Atrial Pacemaker and Cardiac Sympathectomy

  1. DOUGLAS P. ZIPES, M.D.;
  2. BARRY FESTOFF, M.D.;
  3. STEPHEN F. SCHAAL, M.D.;
  4. CLYDE COX, M.D.;
  5. WILL C. SEALY, M.D.; and
  6. ANDREW G. WALLACE, M.D.
  1. Requests for reprints should be sent to Andrew G. Wallace, M.D., Duke University Medical Center,
    Durham, N. C. 27706
    .

SUMMARY

A case of a patient with recurrent paroxysmal ventricular tachycardia fibrillation is presented, and the three modes of therapy used to achieve complete suppression of the ectopic ventricular foci—pacing, cardiac sympathetic denervation, and beta-adrenergic blockade—are reviewed.

Article and Author Information

  • From the Departments of Medicine and Surgery, Duke University Medical Center, Durham, N. C.

  • This work was supported in part by grants K3-HE-19, 949, HE-7563, and HE-05369, National Heart Institute, National Institutes of Health, Bethesda, Md., and by the John A. Hartford and John and Mary Markle Foundations.

    • Received August 8, 1967.
    • Accepted October 31, 1967.
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