Abstract
A patient with paroxysmal, atrioventricular, junctional tachycardia, refractory to the usual medical management, showed a dramatic response to carotid sinus nerve stimulation. All episodes of tachycardia during a five-month period after implantation of a carotid sinus nerve stimulator have been terminated within 30 seconds of stimulation, thereby averting the accompanying symptoms and signs of chest pain, headache, and hypotension. Exertional chest pain (unrelated to the tachycardia) has likewise been relieved promptly following stimulation.
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