Supraventricular tachycardia terminated by external mechanical stimulation: a case of "pothole conversion".Pacing Clin Electrophysiol. 1999 Feb; 22(2):376-8.PC
Supraventricular tachycardia requires atrial or AV junctional tissue for its initiation and maintenance. Acute management of supraventricular tachycardias include vagal maneuvers, pharmacological treatment, and electrical cardioversion. We describe a case of a supraventricular tachycardias cardioverted by the jolt of the ambulance hitting a pothole. The proposed mechanism of cardioversion is an external mechanical one similar to the precordial thump.