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Changing trends in therapy delivery with a third generation noncommitted implantable defibrillator: results of a large single center clinical trial.
Luceri, R M; Habal, S M; David, I B; Puchferran, R L; Muratore, C; Rabinovich, R.
Afiliación
  • Luceri RM; Interventional Cardiac Arrhythmia Center, Holy Cross Hospital, Fort Lauderdale, Florida.
Pacing Clin Electrophysiol ; 16(1 Pt 2): 159-64, 1993 Jan.
Article en En | MEDLINE | ID: mdl-7681564
Thirty-four patients underwent implantation of a third generation ICD, the 4210 ATP, for sudden cardiac death or ventricular tachycardia. This device incorporates significant telemetry logs as well as a detailed analysis of each arrhythmia episode detected. During the period of clinical follow-up, a mean of 12.2 months, a total of 26,569 VT or VF detections were made. The vast majority of these were either due to atrial fibrillation, nonsustained VT, or "noise" detection, and only 6% led to device therapy. ATP was successful in 86.3% of episodes, with 3.5% accelerations and 2.4% failure of ATP trains. The majority of inappropriate therapy episodes were clustered in seven patients, and all were easily diagnosed with the aid of the extensive telemetry logs and sense histories. Of five late deaths, three were from congestive heart failure, one from cerebrovascular accident, and one unknown. These data reveal that this "tiered" therapy noncommitted ICD performs to expectations; the stored data is of significant value in diagnosing the cause of ICD therapy. In addition, ATP is an effective modality for termination of VT.
Asunto(s)
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Telemetría / Fibrilación Ventricular / Muerte Súbita Cardíaca / Taquicardia Ventricular / Desfibriladores Implantables Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: Pacing Clin Electrophysiol Año: 1993 Tipo del documento: Article
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Telemetría / Fibrilación Ventricular / Muerte Súbita Cardíaca / Taquicardia Ventricular / Desfibriladores Implantables Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male Idioma: En Revista: Pacing Clin Electrophysiol Año: 1993 Tipo del documento: Article