Antitachycardia pacing for ventricular tachycardia using implantable cardioverter defibrillators:.

نویسنده

  • Michael O Sweeney
چکیده

Antitachycardia pacing (ATP) refers to the use of pacing stimulation techniques for termination of tachyarrhythmias. Such techniques can be automatically applied using implantable cardioverter defibrillators (ICDs) and offer the potential for painless termination of ventricular tachycardia (VT). Reduction in painful shocks may improve patient quality-of-life (QOL) and extend ICD pulse generator longevity. Numerous older studies have consistently demonstrated that ATP can reliably terminate ∼ 85%-90% of slow VT (cycle lengths [CL] < 300–320 ms) with a low risk of acceleration (1%-5%).1 More recently similar high success and low acceleration rates for fast VT (CL 320–240 ms) have been demonstrated. These observations have repositioned the ICD as primarily an ATP device with defibrillation backup only as needed.

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منابع مشابه

Antitachycardia pacing to terminate ventricular tachyarrhythmia: new insights into how to reduce painful implantable cardioverter defibrillator shocks.

This editorial refers to ‘Safety and efficacy of programming a high number of antitachycardia pacing attempts for fast ventricular tachycardia: a prospective study’ by R.P. Martins et al., on page 1457 and ‘First inappropriate implantable cardioverter defibrillator therapy is often due to inaccurate device programming: analysis of the French OPERA registry’ by A. Leenhardt et al., on page 1465

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عنوان ژورنال:
  • Pacing and clinical electrophysiology : PACE

دوره 27 9  شماره 

صفحات  -

تاریخ انتشار 2004