Transesophageal Cardioversion and Defibrillation

Bedside termination of sustained ventricular tachycardia by transesophageal atrial pacing.

Katz A, Knilans TK, Prystowsky EN. (Indiana Heart Inst, Indianapolis). PACE, Vol. 15, June 1992. Transesophogeal atrial pacing was used to terminate hemodynamically stable sustained monomorphic ventricular tachycardia in two patients. The procedure was performed at the bedside, no anesthesia was required, there were no complications, and one of the patients went home after the procedure was performed. This method should be considered prior to using direct current cardioversion in patients with hemodynamically stable sustained monomorphic ventricular tachycardia.

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