A CLINICAL AND ELECTROCARDIOGRAPHIC STUDY OF PAROXYSMAL VENTRICULAR TACHYCARDIA AND ITS MANAGEMENT
Authors: G R HERRMANN, M R HEJTMANCIK
Journal: Annals of Internal Medicine (1948)

Article1 May 1948A CLINICAL AND ELECTROCARDIOGRAPHIC STUDY OF PAROXYSMAL VENTRICULAR TACHYCARDIA AND ITS MANAGEMENTGEORGE R. HERRMANN, M.D., MILTON R. HEJTMANCIK, M.D.GEORGE R. HERRMANN, M.D., MILTON R. HEJTMANCIK, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-28-5-989 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptA heart that is damaged may be caused to fail by a suddenly developing rapid rate. Paroxysmal ventricular tachycardia is a relatively rare but as a rule a serious increase in heart rate originating in a temporary abnormal pacemaker in ischemic and damaged ventricular tissues. Most hearts in which abnormally augmented heart action develops in the ventricular muscle are those that have been previously damaged by circumscribed infarction, diffuse fibrosis, or digitalis poisoning. It is important to recognize and interrupt the rapid heart action promptly because the added strain will cause acute cardiac failure if it is allowed to continue....Bibliography1. HERRMANNASHMAN GRR a. : Partial bundle block, Am. Heart Jr., 1931, vi, 375. b. WIGGERS, C. J.: The mechanism and nature of ventricular fibrillation, Am. Heart Jr., 1940, xx, 399. CrossrefGoogle Scholar2. SCHERFKISCH DF: Ventricular tachycardias with variform complexes, Bull. New York Med. Coll., 1939, ii, 73. Google Scholar3. ROBINSONHERRMANN GCGR: Paroxysmal tachycardia of ventricular origin, and its relation to coronary occlusion, Heart, 1921, viii, 59. Google Scholar4. WILLIAMSELLIS CL: Ventricular tachycardia. An analysis of 36 cases, Arch. Int. Med., 1932, lxxi, 137. Google Scholar5. COOKEWHITE WTPD: Paroxysmal ventricular tachycardia, Brit. Heart Jr., 1943, v, 33. CrossrefGoogle Scholar6. LEVINE SA: Clinical heart disease, 3rd ed., 1946, W. B. Saunders Company, Philadelphia, p. 201-203. Google Scholar7. SCHWAB EH: Observations on the etiology and treatment of paroxysmal ventricular tachycardia, Am. Heart Jr., 1931, vi, 404. CrossrefGoogle Scholar8. BARNES AR: Cerebral manifestations of paroxysmal tachycardia, Am. Jr. Med. Sci., 1926, clxxi, 489. Google Scholar9. WEISMAN SA: Time required for elimination of quinidine from heart and other organs, Am. Heart Jr., 1940, xx, 21. CrossrefGoogle Scholar10. GOLD H: Pharmacologic basis of cardiac therapy, Jr. Am. Med. Assoc., 1946, cxxxii, 547. CrossrefGoogle Scholar11. REICH NE: Successful use of massive dose of quinidine in a case of intractable ventricular tachycardia, Am. Heart Jr., 1944, xxviii, 256. CrossrefGoogle Scholar12. HEPBURNRYKERT JHE: The use of quinidine sulfate intravenously in ventricular tachycardia, Am. Heart Jr., 1937, xiv, 620. CrossrefGoogle Scholar13. KERR WJ, in STROUD, W. D.: Diagnosis and treatment of cardiovascular disease, 1940, F. A. Davis Company, Philadelphia, p. 1218-1222. Google Scholar14. SCHWARTZJEZER SPA: The action of quinine and quinidine on patients with transient ventricular fibrillation, Am. Heart Jr., 1934, ix, 792. CrossrefGoogle Scholar15. ZIMMERMAN SL: Ventricular tachycardia—a report of 10 cases, eight of which were treated with quinidine with recovery in seven, Ann. Int. Med., 1945, xxiii, 634. Google Scholar16. SABATHIE LG: Personal communication. Google Scholar17. GOODMANGILMAN LA: The pharmacological basis of therapeutics, 1941, The Macmillan Company, New York, p. 201. Google Scholar18. RISEMANLINENTHAL JEHF: Paroxysmal ventricular tachycardia: Its favorable prognosis in the absence of acute cardiac damage and its treatment with parenterally administered quinine dihydrochloride, Am. Heart Jr., 1941, vii, 70. Google Scholar19. STEMPIENKATZ SKH: Quinidine and potassium in the treatment of refractory paroxysmal ventricular tachycardia, Am. Heart Jr., 1942, xxiv, 555. CrossrefGoogle Scholar20. SAMPSONANDERSON JJEM: The treatment of certain cardiac arrhythmias with potassium salts, Jr. Am. Med. Assoc., 1932, xcix, 2257. CrossrefGoogle Scholar21. BOYDSCHERF LJD: Magnesium sulfate in paroxysmal tachycardia, Am. Jr. Med. Sci., 1943, ccvi, 43. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Galveston, Texas*Received for publication October 4, 1947.From The Cardiovascular Service, University of Texas Medical Branch, Galveston, Texas.This study was supported by a grant from the H. H. Weinert Fund for the study of Cardiovascular Research. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAssessment of Efficacy of Pharmacotherapy for Ventricular TachycardiaDRUG THERAPY OF SUSTAINED VENTRICULAR TACHYARRHYTHMIASThe state of electrical cardiac stimulation — 1995The Present Status of Implantable Cardioverter Defibrillator TherapyVentricular Tachycardia: Historical PerspectiveDeterminants of the outcome of electrophysiologic study in patients with ventricular tachyarrhythmiasDeterminants of Survival in Patients with Ventricular TachyarrhythmiasA reevaluation of intravenous quinidineParoxysmal Ventricular Tachycardia in the Absence of Organic Heart Disease Report of a Case and Review of the LiteratureMICHAEL LESCH, M.D., EDMUND LEWIS, M.D., J. O'NEAL HUMPHRIES, M.D., RICHARD S. ROSS, M.D., F.A.C.P.Paroxysmal ventricular tachycardia in childhoodThe use of digitalis in arrhythmiasFunctional paroxysmal ventricular tachycardia∗QRS alterations produced by auricular and ventricular paroxysmal tachycardia in the presence of bundle branch block patternsThe toxicology of digitalis∗Arrhythmias and conduction disturbances due to digitalisTherapie der HerzinsuffizienzDie Rhythmusstörungen des Herzens (einschließlich der intramuralen Leitungsstörungen und des Alternans)Recurrent ventricular tachycardia as the chief manifestation of myocarditis of unknown etiologyParoxysmal ventricular tachycardia: A clinical and electrocardiographic studyPharmakologische Grundsätze medikamentöser BehandlungPAROXYSMAL VENTRICULAR TACHYCARDIA IN AN APPARENTLY NORMAL HEART*ALFRED RING, M.D., JULIUS BLANKFEIN, M.D.The clinical and electrocardiographic differentiation of supraventricular and ventricular tachycardias with regular rhythmThe present status of therapy of the cardiac arrhythmias with quinidineParoxysmal ventricular tachycardia: Experience with quinidine hydrochlorideParoxysmal ventricular tachycardia of prolonged durationThe Use of Digitalis in Spite of the Presence of Ventricular TachycardiaParoxysmal TachycardiaParoxysmal Ventricular Tachycardia: A Study of One Hundred and Seven CasesMeasures Used in the Prevention and Treatment of Cardiac Arrhythmias 1 May 1948Volume 28, Issue 5Page: 989-997KeywordsElectrocardiographyFibrosisHeart failureHeart rateInfarctionMusclesMyocardiumPacemakersVentricular tachycardia ePublished: 1 December 2008 Issue Published: 1 May 1948 PDF downloadLoading ...