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Paroxysmal Ventricular Tachycardia in the Absence of Organic Heart Disease

1967; American College of Physicians; Volume: 66; Issue: 5 Linguagem: Inglês

10.7326/0003-4819-66-5-950

1539-3704

Michael Lesch,

Cardiac electrophysiology and arrhythmias

Case Studies1 May 1967Paroxysmal Ventricular Tachycardia in the Absence of Organic Heart DiseaseReport 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.MICHAEL LESCH, M.D., EDMUND LEWIS, M.D., J. O'NEAL HUMPHRIES, M.D., RICHARD S. ROSS, M.D., F.A.C.P.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-66-5-950 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThis report concerns a healthy-looking young mother of five who had no organic heart disease but was disabled by paroxysms of ventricular tachycardia. In this setting the arrhythmia is usually benign, but the rare occurrence of death in such a patient dictates that an effective therapeutic program be established and vigorously pursued. Management depends upon knowledge of the clinical spectrum of the disease, which has not been reviewed although many single cases have been reported. This report provides such a summary of available information and reports an additional case.CASE REPORTPatient A. M., a 25-year-old white woman, was admitted...References1. FROMENTGALLAVARDINCAHEN RLP: Paroxysmal ventricular tachycardia. A clinical classification. Brit. Heart J. 15: 172, 1953. CrossrefMedlineGoogle Scholar2. LIDMANLYERLY BIJM: Paroxysmal ventricular tachycardia occurring in the absence of demonstrable heart disease. Ann. Intern. Med. 24: 118, 1946. LinkGoogle Scholar3. ELLIOTTFENN ARGK: Long continued ventricular tachycardia. Report of an unusual case. Amer. Heart J. 9: 806, 1923. CrossrefGoogle Scholar4. RINGBLANKFEIN AJ: Paroxysmal ventricular tachycardia in an apparently normal heart. Ann. Intern. Med. 42: 680, 1955. LinkGoogle Scholar5. 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Appearance of ectopic beats dependent upon length of the ventricular cycle, the rule of bigeminy. Circulation 11: 422, 1955. CrossrefMedlineGoogle Scholar38. HEIMANHELWIG DFJ: Suppression of ventricular arrhythmias by transvenous intracardiac pacing. JAMA 195: 1150, 1966. CrossrefGoogle Scholar39. SOWTONLEATHAMCARSON EAP: The suppression of arrhythmias by artificial pacing. Lancet 2: 1098, 1964. CrossrefMedlineGoogle Scholar40. ZOLLLINENTHAL PMAJ: External and internal cardiac pacemakers. Circulation 28: 455, 1963. CrossrefMedlineGoogle Scholar41. HOFFMANCRANEFIELD BFPF: The Electro-physiology of the Heart. McGraw-Hill Book Co., New York, 1960. Google Scholar42. JONESWHITE TDPD: Paroxysmal ventricular tachycardia: report of an unusual case. Amer. Heart J. 2: 139, 1926. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Baltimore, MarylandFrom The Department of Medicine, Johns Hopkins University School of Medicine and Johns Hopkins Hospital, Baltimore, Md.This research was supported in part by grants 2 RO1 HE 05584, the National Heart Institute, and by grant FR-35, the Clinical Center, The Division of General Medical Sciences, the National Institutes of Health, Bethesda, Md.Dr. Humphries was supported in part by graduate training grant 2 T1 HE 5159 and undergraduate training grant 5 T2 HE 260, the National Heart Institute. Dr. Ross was supported by career development award 5-K-3695, the National Heart Institute.Requests for reprints should be addressed to J. O'Neal Humphries, M.D., Johns Hopkins Hospital, 601 N. Broadway, Baltimore, Md. 21205. 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