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Journal of Intensive Care Medicine, Vol. 2, No. 5, 241-259 (1987)
DOI: 10.1177/088506668700200503


Reviews

Analytic Reviews: Electrophysiologic Testing in the Intensive Care Unit

Peter C. Nalos

Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA

Mark R. Myers

Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA

Eli S. Gang

Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA

Thomas Peter

Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA

William J. Mandel

Department of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA

The role of electrophysiologic concepts and procedures in managing patients with potentially life-threatening ar rhythmias in the intensive care unit is discussed. These patients may be survivors of sudden cardiac arrest or myocardial infarction or may be admitted for syncope or sustained or nonsustained ventricular tachycardia. The value of electrophysiologic testing is discussed in terms of the distinction between wide QRS complex tachycardias that are supraventricular or ventricular in origin and those in which preexcitation syndromes may be important. Drug-induced ventricular arrhythmias are discussed, with specific emphasis on torsades de pointes. Finally, the use of His bundle recordings in pa tients with atrioventricular conduction disturbances is discussed. The methodology of electrophysiologic test ing, including stimulation protocols and interpretation of results, is described.


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J Intensive Care MedHome page
M. E. Josephson and A. H. Kadish
Uses and Abuses of Electrophysiologic Testing in the Management of Ventricular Arrhythmias
J Intensive Care Med, September 1, 1987; 2(5): 235 - 238.
[Abstract] [PDF]