Low-energy cardioversion of ventricular tachycardia: When less is more

Herein we report the case of a patient who was admitted in ventricular tachycardia after having received multiple ineffective (and sometimes pro-arrhythmic) high-energy internal shocks from his ICD and who was finally successfully treated by a commanded low-energy internal cardioversion of 0.6 J. Th...

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Main Authors: Haran Burri, MD, Francesco Moretti, MD, Philippe Meyer, MD
Format: Article
Language:English
Published: Elsevier 2017-03-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0972629217300177
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spelling doaj-cdaf80fcf9854478a6e70347ebc8f5902020-11-24T22:10:11ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922017-03-01172444710.1016/j.ipej.2017.02.002Low-energy cardioversion of ventricular tachycardia: When less is moreHaran Burri, MDFrancesco Moretti, MDPhilippe Meyer, MDHerein we report the case of a patient who was admitted in ventricular tachycardia after having received multiple ineffective (and sometimes pro-arrhythmic) high-energy internal shocks from his ICD and who was finally successfully treated by a commanded low-energy internal cardioversion of 0.6 J. This article revisits the use of low-energy shocks and discusses their electrophysiogical mechanisms and clinical implications.http://www.sciencedirect.com/science/article/pii/S0972629217300177Ventricular tachycardiaImplantable cardioverter-defibrillatorPro-arrhythmiaShock
collection DOAJ
language English
format Article
sources DOAJ
author Haran Burri, MD
Francesco Moretti, MD
Philippe Meyer, MD
spellingShingle Haran Burri, MD
Francesco Moretti, MD
Philippe Meyer, MD
Low-energy cardioversion of ventricular tachycardia: When less is more
Indian Pacing and Electrophysiology Journal
Ventricular tachycardia
Implantable cardioverter-defibrillator
Pro-arrhythmia
Shock
author_facet Haran Burri, MD
Francesco Moretti, MD
Philippe Meyer, MD
author_sort Haran Burri, MD
title Low-energy cardioversion of ventricular tachycardia: When less is more
title_short Low-energy cardioversion of ventricular tachycardia: When less is more
title_full Low-energy cardioversion of ventricular tachycardia: When less is more
title_fullStr Low-energy cardioversion of ventricular tachycardia: When less is more
title_full_unstemmed Low-energy cardioversion of ventricular tachycardia: When less is more
title_sort low-energy cardioversion of ventricular tachycardia: when less is more
publisher Elsevier
series Indian Pacing and Electrophysiology Journal
issn 0972-6292
publishDate 2017-03-01
description Herein we report the case of a patient who was admitted in ventricular tachycardia after having received multiple ineffective (and sometimes pro-arrhythmic) high-energy internal shocks from his ICD and who was finally successfully treated by a commanded low-energy internal cardioversion of 0.6 J. This article revisits the use of low-energy shocks and discusses their electrophysiogical mechanisms and clinical implications.
topic Ventricular tachycardia
Implantable cardioverter-defibrillator
Pro-arrhythmia
Shock
url http://www.sciencedirect.com/science/article/pii/S0972629217300177
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