PO-05-078 SHOCK REDUCTION THROUGH EARLY DELIVERY OF ANTITACHYCARDIA PACING FOR FAST VENTRICULAR TACHYCARDIAS

نویسندگان

چکیده

Antitachycardia pacing (ATP) is a programmable therapy in implantable cardiac defibrillator (ICD) devices that has been demonstrated to effectively reduce the need for shocks. Limited data, however, exists on potential benefits of early ATP delivery ventricular fibrillation (VF) zone. While programmed be delivered as first line tachycardia (VT) events, it does so only once episode meets detection criteria by ICD. Newer generations BIOTRONIK ICDs have ability earlier ATP, called Early OneShot, VF when 12 out 16 plus stability criteria, are met target fast VTs detected This option available patients with longer times (VF counters 20 or higher) and allows device deliver before counter met, thus providing than traditional ATP. To compare success rates OneShot (eATP) episodes zone against (tATP) programming. Using BIOTRONIK’s real-world research database, CERTITUDE, 696 eATP capable ICD transmitted via remote monitoring were divided into groups based tATP (n=584) (n=112) programming Each was evaluated determine (ATP and/or shocks) delivered, whether successful, if self-terminated. Patients lower excluded. successful 69.4% cases terminating whereas 49.1% (p<0.0001). Extrapolation rate cohort results 30.0% less shocks (203 avoided 676 total shocks). Cohorts did not differ statistically mean R-R interval at detection, nor limit counters. Episode duration shorter As compared programming, use provides increased terminate zone, potentially reducing unnecessary shocks.Tabled 1Table: Comparison Therapy Groups Device Detected Episodes (PO-05-078)OutcomeEarly OneShotTraditional OneShotp value (difference)Patients Event112584-ATP Success Rate (Successes/Attempts)69.4% (161/232)49.1% (491/1001)<0.0001Median Duration (sec)1217<0.0001Mean Detection (ms)2572530.17Mean Programmed Limit (ms)2882910.20Median Counters Zone (X/Y criteria)18/2418/240.94 Open table new tab

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ژورنال

عنوان ژورنال: Heart Rhythm

سال: 2023

ISSN: ['1556-3871', '1547-5271']

DOI: https://doi.org/10.1016/j.hrthm.2023.03.1491