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Electrical Stimulation of the Heart in the Study and Treatment of Tachycardias (Paperback, Softcover reprint of the original 1st ed. 1971)
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Discovery Miles 26 340
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Electrical Stimulation of the Heart in the Study and Treatment of Tachycardias (Paperback, Softcover reprint of the original 1st ed. 1971)
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The interplay between the careful analysis of clinical
electrocardiograms and results from animal experiments have in the
past 60 years resulted in provo cative and brill ant concepts on
the mechanisms of cardiac arrhythmias in man. Many of the animal
experiments however were done on open-chested dogs with cut cardiac
nerves and under the influence of pharmaca. It is doubtful,
therefore whether these results can be transferred without reser
vation to the human situation. The introduction of electrical
stimulation of the heart in clinical cardiology has opened new ways
to study some aspects of cardiac arrhythmias directly in the
unaesthesized patient. This study reports observations on patients
who were admitted to the University Department of Cardiology,
Wilhelmina Gasthuis, Amsterdam, for the evaluation and treatment of
tachycardias. Electrically induced premature beats were used in an
effort to elucidate the origin and mechanism of these tachycardias.
The first chapter is on classification and diagnosis of tachy
cardias with special emphasis on our current knowledge of the
differential diagnosis between supraventricular tachycardias with
aberrant conduction and ventricular tachycardias. This is followed
by theoretical considerations on tachycardias especially in
relation to the methods used in this study. After an outline of
these methods the results of our studies in patients with atrial
flutter, A-V junc tional tachycardias and tachycardias related to
the pre-excitation syndrome are reported. A discussion on the value
of electrical stimulation for the treatment of tachycardias is
followed by a summary of our results."
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