Quantification of Electromechanical Coupling to Prevent Inappropriate Implantable Cardioverter-Defibrillator Shocks
نویسندگان
چکیده
منابع مشابه
Inappropriate Implantable Cardioverter-Defibrillator Shocks
Results A total of 1,544 ICD patients (79% male, age 61 13 years) were included in the analysis. During the follow-up period of 41 18 months, 13% experienced 1 inappropriate shocks. The cumulative incidence steadily increased to 18% at 5-year follow-up. Independent predictors of the occurrence of inappropriate shocks included a history of atrial fibrillation (hazard ratio [HR]: 2.0, p 0.01) and...
متن کاملTactics for the reduction of inappropriate implantable cardioverter defibrillator shocks.
he implantable cardioverter-defibrillator (ICD) reduces mortality when used for primary or secondary prevention of sudden cardiac death in patients at high risk for life-threatening arrhythmias. In the era of singlechamber ICD, atrial fibrillation (AF) was the most common cause of inappropriate shocks, responsible for up to 62% of these.1 The issue still constitutes a major challenge, even afte...
متن کاملMinimizing inappropriate or "unnecessary" implantable cardioverter-defibrillator shocks: appropriate programming.
Life-saving shocks are the raisons d’être of implantable cardioverter-defibrillators (ICDs). Paradoxically, shocks also cause much of the morbidity associated with ICDs. Consistently, shocks reduce quality of life,1,2 and rarely, they may cause proarrhythmia.3,4 Additionally, shocks have been reported to be associated with excess mortality.5 Experts disagree about whether shocks are responsible...
متن کاملLife‐threatening and life‐saving inappropriate implantable cardioverter defibrillator shocks
An implantable cardioverter defibrillator (ICD) lead dislodgement into the right atrium is a dangerous situation, particularly in patients in atrial fibrillation because atrial fibrillation can be sensed as ventricular fibrillation and true ventricular fibrillation induced with an inappropriate shock. In the presence of shocks, ICD interrogation should be performed as soon as possible.
متن کاملImproper Implantable Cardioverter Defibrillator Shocks
The second ECG recorded supraventricular tachycardia at the time his hemodynamic status deteriorated and decision was made to perform electrical cardioversion with 120 Joules of biphasic synchronized direct current with follow up ECG that showed atrial paced rhythm (Figure 1B). His condition improved and started on amiodarone 200 mg, anticoagulation, and subsequent follow up for ICD reprogrammi...
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ژورنال
عنوان ژورنال: JACC: Clinical Electrophysiology
سال: 2019
ISSN: 2405-500X
DOI: 10.1016/j.jacep.2019.01.025