By Dirk BÃ¶cker, Lars Eckardt, Gunter Breithardt
During this publication, recognized physicians, Bocker, Eckardt and Breithardt have prepare a succinct and concentrated publication that compliments the CATA sequence good. Implantation of defibrillators has advanced dramatically because its advent by way of Mirowski in 1980. Technological advancements in units and leads integrated a gentle relief within the measurement of the gadget, the creation of the endocardial procedure in 1988, the biphasic waveform and antitachycardia pacing in 1991, pectoral implantation in 1995, inclusion of DDD pacing in 1996 and the supply of atrial cures in 1998. because the first implantation, an immense physique of knowledge at the effect of implantable cardioverter defibrillators (ICD) on analysis has develop into on hand, first as observational experiences and later as potential randomized trials. today, there's a huge proof base from the different ICD trials, even though it was once now not regularly convinced that this sort of huge physique of ICD proof might collect.
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Additional resources for Current Indications for the Implantable Cardioverter Defibrillator (Clinical Approaches To Tachyarrhythmias)
154 in 291 patients referred for evaluation of heart transplantation, ICD therapy reduced the rate of sudden death compared to the group without antiarrhythmic treatment from 16% to 9%, but total mortality did not differ. 079). However, the absence of an implantable cardioverter deﬁbrillator was a powerful predictor of mortality for a subgroup of 52 CLINICAL APPROACHES TO TACHYARRHYTHMIAS 134 patients with high-grade ventricular arrhythmias on Holter electrocardiography and for a subgroup of 58 survivors of sudden cardiac death.
07 from log rank test from Kaplan-Meier curves). However, this analysis was questioned by Viskin128 who pointed out that after exclusion of the patients who died within 1 month after inclusion and therefore likely from residuals of their ﬁrst aborted sudden death, the difference between both groups were only marginal. Both agreed that a long-term prospective study is needed to determine the beneﬁt of ICD therapy in LQTS patients. The ACC/AHA 2002 guidelines have designated the ICD for primary prevention of SCD as a class IIb indication (Figure 10).
Typical ECG changes of Brugada syndrome (Type 1). 34 CLINICAL APPROACHES TO TACHYARRHYTHMIAS Secondary prevention of cardiac arrest in patients with Brugada syndrome It is well accepted that patients with Brugada syndrome once they have survived an episode of ventricular ﬁbrillation should be treated with an ICD. Therefore, it is very unlikely that in North America or Western Europe a trial comparing ICD therapy to any other therapy will be conducted in the foreseeable future. 44 There were seven deaths (18%) in the beta-blocker group and no deaths in the ICD group, but there were a total of 12 ICD patients receiving ICD discharges due to recurrent VF.
Current Indications for the Implantable Cardioverter Defibrillator (Clinical Approaches To Tachyarrhythmias) by Dirk BÃ¶cker, Lars Eckardt, Gunter Breithardt