Paroxysmal Ventricular Tachycardia Abolished by a Blow to the Precordium

Bornemann, Carl; Scherf, David

doi:10.1378/chest.56.1.83

Cited by 14 publications

(3 citation statements)

References 6 publications

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“…The precordial thump was first described as a treatment option for VF in a case report in 1969 and a case series in 1970 . Briefly, this is a method of mechanical defibrillation, accomplished by striking the patient with the heel of the hand directly over the heart.…”

Section: Alsmentioning

confidence: 99%

RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 7: Clinical guidelines

Fletcher

Boller

Brainard

et al. 2012

J Vet Emergen Crit Care

151

234

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Objective -To present a series of evidence-based, consensus guidelines for veterinary CPR in dogs and cats. Design -Standardized, systematic evaluation of the literature, categorization of relevant articles according to level of evidence and quality, and development of consensus on conclusions for application of the concepts to clinical practice. Questions in five domains were examined: Preparedness and Prevention, Basic Life Support, Advanced Life Support, Monitoring, and Post-Cardiac Arrest Care. Standardized worksheet templates were used for each question, and the results reviewed by the domain members, by the RECOVER committee, and opened for comments by veterinary professionals for 4 weeks. Clinical guidelines were devised from these findings and again reviewed and commented on by the different entities within RECOVER as well as by veterinary professionals. Setting -Academia, referral practice and general practice. Results -A total of 74 worksheets were prepared to evaluate questions across the five domains. A series of 101 individual clinical guidelines were generated. In addition, a CPR algorithm, resuscitation drug-dosing scheme, and postcardiac arrest care algorithm were developed. Conclusions -Although many knowledge gaps were identified, specific clinical guidelines for small animal veterinary CPR were generated from this evidence-based process. Future work is needed to objectively evaluate the effects of these new clinical guidelines on CPR outcome, and to address the knowledge gaps identified through this process. (J Vet Emerg Crit Care 2012; 22(S1): 102-131)

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Section: Alsmentioning

confidence: 99%

RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 7: Clinical guidelines

Fletcher

Boller

Brainard

et al. 2012

J Vet Emergen Crit Care

151

234

View full text Add to dashboard Cite

show abstract

“…40–44 However, 2 larger case series found that the precordial thump was ineffective in 79 (98.8%) of 80 cases 45 and in 153 (98.7%) of 155 cases of malignant ventricular arrhythmias. 46 Case reports and case series 47–49 have documented complications associated with precordial thump including sternal fracture, osteomyelitis, stroke, and triggering of malignant arrhythmias in adults and children.…”

Section: Cpr Techniquesmentioning

confidence: 99%

Part 7: CPR Techniques and Devices

Cave¹,

Gazmuri²,

Otto³

et al. 2010

Circulation

209

125

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“…For example, ectopic beats may be induced as a result of a catheter-tip approaching the endocardium during cardiac catheterization 16 . Precordial thumps were reported to successfully revert ventricular tachycardia 17 18 and even early ventricular fibrillation 19 . Recently, high intensity focused ultrasound was shown to induce a mechanical force that provoked single ectopic beats noninvasively 20 .…”

mentioning

confidence: 99%

Feasibility of Leadless Cardiac Pacing Using Injectable Magnetic Microparticles

Rotenberg

Gabay

Etzion

et al. 2016

Sci Rep

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A noninvasive, effective approach for immediate and painless heart pacing would have invaluable implications in several clinical scenarios. Here we present a novel strategy that utilizes the well-known mechano-electric feedback of the heart to evoke cardiac pacing, while relying on magnetic microparticles as leadless mechanical stimulators. We demonstrate that after localizing intravenously-injected magnetic microparticles in the right ventricular cavity using an external electromagnet, the application of magnetic pulses generates mechanical stimulation that provokes ventricular overdrive pacing in the rat heart. This temporary pacing consistently managed to revert drug-induced bradycardia, but could only last up to several seconds in the rat model, most likely due to escape of the particles between the applied pulses using our current experimental setting. In a pig model with open chest, MEF-based pacing was induced by banging magnetic particles and has lasted for a longer time. Due to overheating of the electromagnet, we intentionally terminated the experiments after 2 min. Our results demonstrate for the first time the feasibility of external leadless temporary pacing, using injectable magnetic microparticles that are manipulated by an external electromagnet. This new approach can have important utilities in clinical settings in which immediate and painless control of cardiac rhythm is required.

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Paroxysmal Ventricular Tachycardia Abolished by a Blow to the Precordium

Cited by 14 publications

References 6 publications

RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 7: Clinical guidelines

RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 7: Clinical guidelines

Part 7: CPR Techniques and Devices

Feasibility of Leadless Cardiac Pacing Using Injectable Magnetic Microparticles

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