Detection and management of animplantable cardioverter defibrillator lead failure

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Management of the patient with implantable cardioverter-defibrillator lead failure.

A 52-year-old man was brought to the emergency department because of multiple implantable cardioverterdefibrillator (ICD) shocks. His existing dual-chamber pacemaker was upgraded from a biventricular ICD 4 years ago. The ECG in the emergency department showed sinus tachycardia with left bundle-branch block at a rate of 135 bpm. In the emergency department, the patient received 5 additional shoc...

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Implantable cardioverter-defibrillator lead performance.

Implantable cardioverter-defibrillators (ICDs) have revolutionized the treatment of patients at risk for sudden cardiac death. In the nearly 3 decades since the first human ICD implant,1 millions of devices have been implanted worldwide and innumerable lives have been saved. Successful resuscitation of a potentially lethal ventricular arrhythmia by an ICD system depends on successful arrhythmia...

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An algorithm to predict implantable cardioverter-defibrillator lead failure.

OBJECTIVES The goal of this analysis was to test an algorithm that identifies implantable cardioverter-defibrillator (ICD) lead problems before clinical failure and/or inappropriate therapy. BACKGROUND The ICD lead failures typically present as inappropriate shock therapy. Identifying lead failures before their clinical presentation may prevent patient discomfort, improve device longevity, an...

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Implantable Cardiac Defibrillator Lead Failure and Management.

The implantable-cardioverter defibrillator (ICD) lead is the most vulnerable component of the ICD system. Despite advanced engineering design, sophisticated manufacturing techniques, and extensive bench, pre-clinical, and clinical testing, lead failure (LF) remains the Achilles' heel of the ICD system. ICD LF has a broad range of adverse outcomes, ranging from intermittent inappropriate pacing ...

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Implantable cardioverter-defibrillator lead failure in children and young adults: a matter of lead diameter or lead design?

OBJECTIVES This study aimed to investigate the impact of lead diameter and design on implantable cardioverter-defibrillator (ICD) lead survival in children and young adults. BACKGROUND Recent reports have called attention to high rates of lead failure in adults with small-diameter ICD leads, but data in the pediatric population is limited. METHODS We reviewed lead performance in consecutive...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2003

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(02)02620-7