[Antitachycardia pacing therapy in supraventricular tachycardia using the microcomputer-guided Tachylog 651 pacemaker].
Microprocessor-controlled antitachycardia pacemaker expand the automatic detection of the tachycardia and incorporate multiple, different termination modes. We report our results in the long-term therapy of paroxysmal supraventricular tachycardia with the antitachycardia pacemaker "Tachylog 651". The system was implanted in 10 patients with a mean age of 48 years (from 20 to 68 years): Wolff-Parkinson-White syndrome 4 patients, paroxysmal AV nodal reentrant tachycardia 6 cases. The rate of the reentrant tachycardia was 162 +/- 23/min. The system reliably differentiated between paroxysmal supraventricular tachycardia and sinus tachycardia, including 4 patients with a tachycardia rate of less than 150/min. Burst overdrive pacing was effective in 6 patients and the "self-search system" in 3 patients. During follow-up of 9 +/- 4 months 104 +/- 93 successful interventions per patient were observed; change of the termination mode became necessary in 4 patients and of the detection mode in 3 patients. The incorporation of programmable detection and multiple termination modes in the microprocessor-controlled antitachycardia systems allows the effective long-term antitachycardia pacing. The multiprogrammable "Tachylog 651" pacemaker is an advancement in the electrotherapeutic treatment of paroxysmal supraventricular tachycardias, including the automatic treatment of tachycardias with low rates.
D000328:Adult; D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008838:Microcomputers; D008875:Middle Aged; D010138:Pacemaker, Artificial; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy; D013617:Tachycardia, Supraventricular / Q000175:diagnosis / Q000628:therapy*; D013813:Therapy, Computer-Assisted; D014927:Wolff-Parkinson-White Syndrome / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy*
D000889:Anti-Arrhythmia Agents
Antitachykarde Schrittmachertherapie mit dem mikroprozessorgesteuerten "Tachylog 651" bei supraventrikulärer Tachykardie.