Operative Management of Intractable Ventricular Tachyarrhythmias

Irving L. Kron, R. Christopher King

Research output: Contribution to journalArticle

Abstract

Due to better catheter techniques and pharmacologic agents, operative intervention is not considered in most patients with arrhythmias, although it still has a definite role that is clearly life-saving in some situations. The implantable defibrillator has absolutely no role in patients with intractable arrhythmias. Multiple shocks are not well tolerated and the battery will wear out. However, both coronary bypass and endocardial resection have been used at our institution successfully for intractable arrhythmias. Another modality is the use of various types of temporary and permanent left ventricular support devices in patients who need time to have their arrhythmias treated pharmacologically. The devices are used to support the overall hemodynamic status of the patient. There is probably no worse scenario than to successfully treat the arrhythmia pharmacologically than to lose the patient to multiorgan failure due to hemodynamic instability. Therefore, it is proper that early institution of mechanical support be used in otherwise low-risk patients who have severe arrhythmias and who may be candidates for cardiac transplantation.

Original languageEnglish (US)
Pages (from-to)142-144
Number of pages3
JournalCardiac Electrophysiology Review
Volume1
Issue number1-2
StatePublished - Dec 1 1997
Externally publishedYes

Fingerprint

Tachycardia
Cardiac Arrhythmias
Hemodynamics
Equipment and Supplies
Implantable Defibrillators
Heart Transplantation
Shock
Catheters

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Operative Management of Intractable Ventricular Tachyarrhythmias. / Kron, Irving L.; King, R. Christopher.

In: Cardiac Electrophysiology Review, Vol. 1, No. 1-2, 01.12.1997, p. 142-144.

Research output: Contribution to journalArticle

@article{2013f270b10a490698b55fa232d7c5c5,
title = "Operative Management of Intractable Ventricular Tachyarrhythmias",
abstract = "Due to better catheter techniques and pharmacologic agents, operative intervention is not considered in most patients with arrhythmias, although it still has a definite role that is clearly life-saving in some situations. The implantable defibrillator has absolutely no role in patients with intractable arrhythmias. Multiple shocks are not well tolerated and the battery will wear out. However, both coronary bypass and endocardial resection have been used at our institution successfully for intractable arrhythmias. Another modality is the use of various types of temporary and permanent left ventricular support devices in patients who need time to have their arrhythmias treated pharmacologically. The devices are used to support the overall hemodynamic status of the patient. There is probably no worse scenario than to successfully treat the arrhythmia pharmacologically than to lose the patient to multiorgan failure due to hemodynamic instability. Therefore, it is proper that early institution of mechanical support be used in otherwise low-risk patients who have severe arrhythmias and who may be candidates for cardiac transplantation.",
author = "Kron, {Irving L.} and King, {R. Christopher}",
year = "1997",
month = "12",
day = "1",
language = "English (US)",
volume = "1",
pages = "142--144",
journal = "Journal of Interventional Cardiac Electrophysiology",
issn = "1383-875X",
publisher = "Springer Netherlands",
number = "1-2",

}

TY - JOUR

T1 - Operative Management of Intractable Ventricular Tachyarrhythmias

AU - Kron, Irving L.

AU - King, R. Christopher

PY - 1997/12/1

Y1 - 1997/12/1

N2 - Due to better catheter techniques and pharmacologic agents, operative intervention is not considered in most patients with arrhythmias, although it still has a definite role that is clearly life-saving in some situations. The implantable defibrillator has absolutely no role in patients with intractable arrhythmias. Multiple shocks are not well tolerated and the battery will wear out. However, both coronary bypass and endocardial resection have been used at our institution successfully for intractable arrhythmias. Another modality is the use of various types of temporary and permanent left ventricular support devices in patients who need time to have their arrhythmias treated pharmacologically. The devices are used to support the overall hemodynamic status of the patient. There is probably no worse scenario than to successfully treat the arrhythmia pharmacologically than to lose the patient to multiorgan failure due to hemodynamic instability. Therefore, it is proper that early institution of mechanical support be used in otherwise low-risk patients who have severe arrhythmias and who may be candidates for cardiac transplantation.

AB - Due to better catheter techniques and pharmacologic agents, operative intervention is not considered in most patients with arrhythmias, although it still has a definite role that is clearly life-saving in some situations. The implantable defibrillator has absolutely no role in patients with intractable arrhythmias. Multiple shocks are not well tolerated and the battery will wear out. However, both coronary bypass and endocardial resection have been used at our institution successfully for intractable arrhythmias. Another modality is the use of various types of temporary and permanent left ventricular support devices in patients who need time to have their arrhythmias treated pharmacologically. The devices are used to support the overall hemodynamic status of the patient. There is probably no worse scenario than to successfully treat the arrhythmia pharmacologically than to lose the patient to multiorgan failure due to hemodynamic instability. Therefore, it is proper that early institution of mechanical support be used in otherwise low-risk patients who have severe arrhythmias and who may be candidates for cardiac transplantation.

UR - http://www.scopus.com/inward/record.url?scp=2342541917&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2342541917&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:2342541917

VL - 1

SP - 142

EP - 144

JO - Journal of Interventional Cardiac Electrophysiology

JF - Journal of Interventional Cardiac Electrophysiology

SN - 1383-875X

IS - 1-2

ER -