Ventricular Tachycardia of Thirty-five Days' Duration
Authors: ROBERT W. TREVER
Journal: Annals of Internal Medicine (1963)

Case Studies1 November 1963Ventricular Tachycardia of Thirty-five Days' DurationReport of a Case Reverted by Direct Current External Electric CountershockROBERT W. TREVER, M.D., F.A.C.P.ROBERT W. TREVER, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-59-5-732 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptProlonged refractory attacks of ventricular tachycardia are unusual. Survival for significant intervals after such attacks is rare. Most reported cases of ventricular tachycardia do not offer unequivocal proof of their ventricular origin through the demonstration of ventricular fusion beats or of ventricular captures, the latter with normal intraventricular conduction times. Experience with the treatment of ventricular tachycardia by external electric countershock is limited. The following case provides interesting information relative to all of these aspects of the problem of ventricular tachycardia.CASE REPORTThe patient was a 59-year-old dairy farmer who developed pain in his throat and dyspnea on October...References1. LOWNAMARASINGHAMNEUMAN BRJ: New method for terminating cardiac arrhythmias: use of synchronized capacitor discharge. JAMA 182: 548, 1962. MedlineGoogle Scholar2. MOIACAMPANA BM: Fatal ventricular tachycardia of 123 days duration treated with large doses of intravenous quinidine. Rev. Argent. Cardiol. 13: 334, 1947. MedlineGoogle Scholar3. MAYS AT, Ventricular tachycardia of unusually long duration (77 days). Amer. Heart J. 23: 119, 1942. CrossrefGoogle Scholar4. MATHIEUPERNOTMETZSTREIFF LCJF: Tachycardie ventriculaire de longue duree (trois mois) au cours d'un infarctus du myocarde. Arch. Mal. Couer 4: 389, 1958. Google Scholar5. PAPADOPOULOSBLAZER CC: Ventricular tachycardia of 70 days duration with survival. Amer. J. Cardiol. 11: 107, 1963. CrossrefMedlineGoogle Scholar6. PORDYKOLKERLEVY LJH: Paroxysmal ventricular tachycardia of prolonged duration. Amer. J. Med. 10: 254, 1951. CrossrefMedlineGoogle Scholar7. FREUNDLICH J: Paroxysmal ventricular tachycardia. Amer. Heart J. 31: 557, 1946. CrossrefMedlineGoogle Scholar8. DUBBSPARMET AD: Ventricular tachycardia stopped on the twenty-first day by giving quinidine sulfate intravenously. Amer. Heart J. 24: 272, 1942. CrossrefGoogle Scholar9. ARMBRUSTLEVINE CASA: Paroxysmal ventricular tachycardia: a study of one hundred and seven cases. Circulation 1: 28, 1950. CrossrefMedlineGoogle Scholar10. KATZPICK LNA: Part 1. The arrhythmias in Clinical Electrocardiography. Lea & Febiger, Philadelphia, 1956, p. 290. Google Scholar11. ZOLLLINENTHAL PA: Termination of refractory tachycardia by external countershock. Circulation 25: 596, 1962. CrossrefGoogle Scholar12. LOWN B: The termination of cardiac arrythmias with electrical discharge (abstract). Ann. Intern. Med. 58: 713, 1963. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Easton, MarylandFrom the Department of Internal Medicine, The Memorial Hospital at Easton, Maryland.Requests for reprints should be addressed to Robert W. Trever, M.D., The Medical Arts Building, 202 Dover St., Easton, Maryland. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFURTHER EXPERIENCE OF ELECTRICAL CONVERSION OF ATRIAL FIBRILLATION TO SINUS RHYTHM: ANALYSIS OF 100 PATIENTS 1 November 1963Volume 59, Issue 5_Part_1Page: 732-737KeywordsDyspneaHospital medicinePatientsPharynxTachycardiaVentricular tachycardia Issue Published: 1 November 1963 PDF downloadLoading ...