Abstract
Five patients with recurrent bouts of supraventricular tachycardia proved resistant or became intolerant of both conventional and experimental drugs. These patients were subjected to a new procedure involving delivery of DC shocks to an electrode catheter positioned adjacent to the His bundle. Complete atrioventricular (AV) block was produced in all, one patient died suddenly six weeks after shock therapy, and the remainder had complete AV block with follow-up intervals ranging from four to 12 months. Shock therapy was associated with mild elevations of creatine phosphokinase MB (31± 18 units), but there was no hemodynamic evidence of tricuspid insufficiency. If this new technique proves safe and effective, it should supplant the need for open heart surgical procedures for His-bundle ablation. (<i>JAMA</i>1982;248:851-855)
Keywords
MedicineSupraventricular arrhythmiaCatheter ablationRefractory (planetary science)AblationCatheterCardiologyInternal medicineAtrial fibrillationSurgery
Related Publications
Radiofrequency Catheter Ablation of the Atria Reduces Inducibility and Duration of Atrial Fibrillation in Dogs
Background The purpose of this study was to prevent induction of sustained atrial fibrillation (AF) by radiofrequency catheter ablation (RFCA) of the atria in an open-chest cani...
Right and Left Atrial Radiofrequency Catheter Therapy of Paroxysmal Atrial Fibrillation
Ablation of Paroxysmal Atrial Fibrillation. Introduction : (AF), trial fibrillation (AF), the most common arrhythmia, is due to multiple simultaneous wavelets of reentry in the ...
Publication Info
- Year
- 1982
- Type
- article
- Volume
- 248
- Issue
- 7
- Pages
- 851-855
- Citations
- 114
- Access
- Closed
External Links
Social Impact
Altmetric
PlumX Metrics
Social media, news, blog, policy document mentions
Citation Metrics
114
OpenAlex
Cite This
Melvin M. Scheinman
(1982).
Catheter-induced ablation of the atrioventricular junction to control refractory supraventricular arrhythmias.
JAMA
, 248
(7)
, 851-855.
https://doi.org/10.1001/jama.248.7.851
Identifiers
- DOI
- 10.1001/jama.248.7.851