Subcutaneous implantable cardioverter defibrillator (ICD) - Repository of the LBI-HTA

Single chamber icd, Welcome to Thieme E-Books & E-Journals

Welcome to Thieme E-Books & E-Journals

Tachykard übergeleitetes Vorhofflimmern ist dabei neben supraventrikulären Tachykardien, Artefaktsensing und elektromagnetischen Interferenzen die häufigste Ursache für inadäquate ICD-Schocks. Neben den klassischen erweiterten Detektionskritieren Stabilität, Onset und Morphologie des Kammerkomplexes sowie den firmenspezifischen Zweikammer-ICD-Algorithmen gelingt eine Therapiereduktion vor allem durch Erhöhung der Detektionsfrequenz für ventrikuläre Tachykardien und Programmierung einer langen Detektionsdauer.

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Ein erhöhtes Risiko für Synkopen ist durch die Single chamber icd nicht zur befürchten. Zusätzlich zur optimierten Programmierung kann jennifer westfeldt dating Anteil von adäquaten ICD-Therapien durch Antiarrhythmika und durch eine Katheterablation beeinflusst werden.

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Schlüsselwörter Current strategies to avoid ICD-therapies Abstract Implantation of an internal cardioverter defibrillator ICD has become the routine therapy for primary and secondary prevention of ventricular arrhythmia due to its proven reduction of mortality.

Despite the significant benefits for patients with highly reduced left ventricular function, ICD therapy, especially inappropriate ICD therapy, is a single chamber icd concern in the daily routine.

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  • Subcutaneous implantable cardioverter defibrillator (ICD) - Repository of the LBI-HTA
  • Decision Support Document
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Causes of inappropriate ICD therapy can be divided into supraventricular arrhythmia, sensing problems and electromagnetic interference, with atrial fibrillation being the most common cause of single chamber icd ICD shocks. As appropriate and inappropriate ICD therapies both seem to be associated with an increased mortality, physicians should focus on avoiding ICD therapy.

Antiarrhythmic drug therapy and catheter ablation of ventricular arrhythmia are further possibilities to reduce ICD therapy, especially in patients with repetitive ICD shocks due to recurrent ventricular arrhythmia.

Aktuelle Strategien zur Vermeidung von ICD-Therapien

Notes Einhaltung ethischer Richtlinien Interessenkonflikt. Vogler, N. Gosau, J.

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Moser und B. Hoffmann: kein Interessenkonflikt. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Literatur 1. Antiarrhythmics vs Implantable Defibrillator study. Cardiac Arrest Study Hamburg.

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Canadian Implantable Single chamber icd Study. Dorian P, Philippon F, Thibault B et al Randomized controlled study of detection enhancements versus rate-only detection to prevent inappropriate therapy in a dual-chamber implantable cardioverter-defibrillator. Friedman PA, Bradley D, Koestler C et al A prospective randomized trial of single- or dual-chamber implantable cardioverter-defibrillators to minimize inappropriate shock risk in primary sudden cardiac death prevention.

Europace Friedman PA, Mcclelland RL, Bamlet WR et al Dual-chamber versus single-chamber detection enhancements for implantable defibrillator rhythm diagnosis: the detect supraventricular tachycardia study. Israel CW How to avoid inappropriate therapy.

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Kuck KH, Schaumann A, Eckardt L et al Catheter ablation of stable ventricular tachycardia before defibrillator implantation in patients with coronary heart disease VTACH : a multicentre randomised controlled trial. Powell BD, Saxon LA, Boehmer JP et al Survival after shock therapy in implantable cardioverter-defibrillator and cardiac resynchronization therapy-defibrillator recipients according to rhythm shocked.

Sweeney MO, Sherfesee L, Degroot PJ et al Differences in effects of electrical therapy type for ventricular arrhythmias on mortality in implantable cardioverter-defibrillator patients. Tan VH, Wilton SB, Kuriachan V et al Impact of programming strategies aimed at reducing nonessential implantable cardioverter defibrillator therapies on mortality: a systematic review and meta-analysis.

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Theuns DA, Single chamber icd M, Boersma E et al Prevention of inappropriate therapy in implantable defibrillators: a meta-analysis of clinical trials comparing single-chamber and dual-chamber arrhythmia discrimination algorithms.