Abstract
The isolated occurrence of either congestive heart failure or ventricular tachycardia (VT) carries a poor prognosis. Frequently, congestive heart failure and complex ventricular arrhythmia coexist in patients (1–5). The combined occurrence of congestive heart failure and complex ventricular arrhythmia has a worse prognosis than either alone, with an annual reported mortality of between 50 and 60 percent (2). Previous attempts at extending survival in this group of patients has primarily focused on treatment of heart failure (1,2). Despite control of heart failure, mortality remained high as patients frequently succumbed to sudden death. However, previous investigators have not pursued aggressive arrhythmia management in this group of patients.
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