Sclarovsky S, Kracoff O H, Agmon J
Chest. 1981 Nov;80(5):596-9. doi: 10.1378/chest.80.5.596.
Chest thump is accepted as a simple and effective maneuver for terminating a paroxysm of ventricular tachycardia. This report describes three patients receiving digitalis in whom chest thump caused an acceleration of the rate of ventricular tachycardia. Following discontinuation of digitalis therapy, chest thump converted to sinus rhythm recurrence of ventricular tachycardia in two patients and did not cause acceleration of the ventricular rate in the third. It is suggested that in patients taking digitalis with ventricular tachycardia, chest thump should be used with caution.
胸部叩击被认为是终止室性心动过速发作的一种简单有效的手法。本报告描述了3例接受洋地黄治疗的患者，胸部叩击导致其室性心动过速的心率加快。停用洋地黄治疗后，胸部叩击使2例患者转为窦性心律，室性心动过速未再复发，第3例患者的心室率未加快。提示对于服用洋地黄且伴有室性心动过速的患者，应谨慎使用胸部叩击。
