• Ann Emerg Med · Feb 1992

    The use of external, noninvasive pacing for the termination of ventricular tachycardia in the emergency department setting.

    • B P Grubb, P Temesy-Armos, H Hahn, and L Elliott.
    • Department of Medicine, Medical College of Ohio, Toledo.
    • Ann Emerg Med. 1992 Feb 1;21(2):174-6.

    Study ObjectiveTo determine the potential usefulness of external cardiac pacing for the termination of sustained ventricular tachycardia in the emergency department setting.Type Of ParticipantsFive men and one woman (mean age, 57 years) who presented to the ED with a wide-complex, hemodynamically stable tachycardia that was later proven to be ventricular in origin.InterventionEach patient underwent external overdrive pacing using a modified external pacemaker at a pulse amplitude of 120 mA and a rate of 200 pulses per minute.ResultsIn all six patients, external cardiac pacing was able to successfully terminate tachycardia without complication.ConclusionWe conclude that external noninvasive pacing may be an effective means of terminating ventricular tachycardia in the ED setting.

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