Reverse RAMP (REVRAMP) pacing: A novel anti tachycardia pacing technique

Muzahir Hassan Tayebjee*, Robert Bowes, Berthold Stegemann, Arun V. Holden

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Anti-tachycardia pacing (ATP) is frequently used to terminate ventricular tachycardia (VT), however it is not always successful and may accelerate VT requiring defibrillation. REVRAMP is a novel concept of ATP that involves delivering pacing at a faster rate than VT, but instead of abruptly terminating pacing after eight beats, pacing is gradually slowed until VT continues or normal rhythm is restored. In a pilot study we show that REVRAMP can restore normal rhythm, and that if REVRAMP is unsuccessful, VT is not accelerated.
Original languageEnglish
Pages (from-to)54-57
Number of pages4
JournalIndian Pacing and Electrophysiology Journal
Issue number1
Early online date12 Nov 2021
Publication statusPublished - 28 Jan 2022

Bibliographical note

Copyright © 2022 Published by Elsevier B.V. This is an open access article under the CC BY license (


  • Anti tachycardia pacing
  • Implantable defribrillator
  • Painless therapy


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