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Invasive Cardiovascular Therapy pp 489–496Cite as

Dynamic overdrive pacing for the suppression of ventricular ectopic activity: long-term application using implantable pacemakers

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Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 57))

Abstract

Overdrive pacing is a commonly used method for terminating tachycardias [2]. Furthermore, overdrive suppression of repetitive Purkinje fibre activity is a well known electrophysiological phenomenon. The so far discussed working mechanisms are shown in Table 1. Dynamic overdrive pacing (DO), which means an overdrive stimulation with varying rate, was incorporated in the DPG 1 (Vitatron) for tachycardia prevention. In order to investigate the reliability of this new pacing mode, we first induced complex ventricular extrasystoles (VES) and ventricular tachycardia by bipolar, epicardial direct current (DC) application in 5 pig hearts (20 to 30 kg) in situ during neuroleptanalgesia (method: 24). During ventricular DO pacing, DC-induced complex VES disappeared and tachycardoas needed significantly higher current strengths to be induced. I some cases, tachycardias could not intiated any more.

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Authors
  1. U. J. Winter
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  2. D. W. Behrenbeck
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  3. M. Höher
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  4. TH. Brill
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  5. H. Ebeling
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  6. HJ. Hirche
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  7. H. H. Hilger
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Editor information

Editors and Affiliations

  1. Medical Clinic III, Department of Cardiology, University of Cologne, Joseph-Stelzmann-Strasse 9, 5000, Cologne 41, Federal Republic of Germany

    H. H. Hilger  & V. Hombach  & 

  2. Cardiovascular Laboratories, The Children’s Hospital of Philadelphia One Children’s Center, 34th Street and Civic Center Bvd, Philadelphia, PA, USA

    W. J. Rashkind

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© 1987 Martinus Nijhoff Publishers, Dordrecht

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Winter, U.J. et al. (1987). Dynamic overdrive pacing for the suppression of ventricular ectopic activity: long-term application using implantable pacemakers. In: Hilger, H.H., Hombach, V., Rashkind, W.J. (eds) Invasive Cardiovascular Therapy. Developments in Cardiovascular Medicine, vol 57. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-4293-6_43

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  • DOI: https://doi.org/10.1007/978-94-009-4293-6_43

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8408-6

  • Online ISBN: 978-94-009-4293-6

  • eBook Packages: Springer Book Archive

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