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Table of Contents

1. Classification and Diagnosis of Tachycardias.- Classification of tachycardias.- Signs on physical examination.- Differentiation between ventricular tachycardia and supraventricular tachycardia with aberant conduction.- His bundle recordings.- Electrical stimulation of the heart.- Differentiation between A-V junctional tachycardia with aberrant conduction and independent atrial activity, and ventricular tachycardia with independent atrial activity.- Summary.- 2. Tachycardias. Theoretical Considerations.- Initiation of tachycardias.- Influence of induced premature beats on tachycardias.- Termination of tachycardias.- 3. Methods.- 4. Atrial Flutter.- 5. A-V Junctional Tachycardias.- 6. Tachycardias Related to the Pre-Excitation Syndrome.- ‘Classic’ Wolff-Parkinson-White syndrome.- Normal PR interval-Small Delta Wave-Normal QRS complex.- Short PR-Normal QRS-syndrome.- Conclusions.- 7. Electrical Stimulation of the Heart in the Treatment of Tachycardias.- 1. The delivery of an appropriately timed single or two consecutive premature beats at the site (atrium or ventricle) where this results in termination of the tachycardia.- 2. Paired depolarization of the heart by the use of paired stimulation or coupled pacing.- 3. Simultaneous stimulation of the atrium and ventricle.- 4. Regular driving of the heart at rates above the frequency of the tachycardia: ‘Overdriving’.- 5. Regular driving of the heart for the prevention of paroxysmal supra- ventricular and ventricular tachycardias.- Conclusions.- Summary.- References.- Index of Subjects.