|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
|
|
|
|||||||||
|
|||||||||||
|
J Am Coll Cardiol, 1991; 18:1418-1425 © 1991 by the American College of Cardiology Foundation |
Clinical Electrophysiology Laboratory, Hospital of the University of Pennsylvania, Philadelphia 19104.
New technology has produced automatic cardioverter-defibrillators capable of delivering antitachycardia pacing, as well as low and high energy shocks and backup bradycardia pacing. These expanded treatment options have led to a wider range of clinical applications for such devices, including the treatment of ventricular tachycardias with longer cycle lengths, which may overlap the cycle lengths of some supraventricular arrhythmias. The diagnostic capability of these devices, although improved, has not advanced sufficiently to ensure reliable discrimination between all supraventricular and ventricular arrhythmias. Two cases are presented in which device-mediated pacing therapy, triggered by supraventricular arrhythmias, induced ventricular tachycardia requiring additional therapeutic intervention. This report illustrates the therapeutic versatility and some of the potential pitfalls, of the recently developed devices and reviews the status of automatic arrhythmia identification technology.
This article has been cited by other articles:
|
|
 |
|
  J. P. Daubert, W. Zareba, D. S. Cannom, S. McNitt, S. Z. Rosero, P. Wang, C. Schuger, J. S. Steinberg, S. L. Higgins, D. J. Wilber, et al. Inappropriate Implantable Cardioverter-Defibrillator Shocks in MADIT II: Frequency, Mechanisms, Predictors, and Survival Impact J. Am. Coll. Cardiol., April 8, 2008; 51(14): 1357 - 1365. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Bansch, F. Steffgen, G. Gronefeld, C. Wolpert, D. Bocker, R.-U. Mletzko, W. Schols, K. Seidl, M. Piel, F. Ouyang, et al. The 1+1 Trial: A Prospective Trial of a Dual- Versus a Single-Chamber Implantable Defibrillator in Patients With Slow Ventricular Tachycardias Circulation, August 31, 2004; 110(9): 1022 - 1029. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Kouakam, S. Kacet, J.-R. Hazard, A. Ferraci, H. Mansour, P. Defaye, J.-M. Davy, M. Lambiez, and on behalf of the Ventak AV Investigators Performance of a dual-chamber implantable defibrillator algorithm for discrimination of ventricular from supraventricular tachycardia Europace, January 1, 2004; 6(1): 32 - 42. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. W. Smith Driving after Ventricular Arrhythmias N. Engl. J. Med., August 9, 2001; 345(6): 451 - 452. [Full Text] [PDF]
|
|
|
|
|
|
A. Arenal, J. Almendral, J. Villacastin, R. Morris, E. Castellanos, and J. L. Delcan First Postpacing Interval Variability During Right Ventricular Stimulation : A Single Algorithm for the Differential Diagnosis of Regular Tachycardias Circulation, August 18, 1998; 98(7): 671 - 677. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. E. Epstein, W. M. Miles, D. G. Benditt, A. J. Camm, E. J. Darling, P. L. Friedman, A. Garson, J. C. Harvey, G. A. Kidwell, G. J. Klein, et al. Personal and Public Safety Issues Related to Arrhythmias That May Affect Consciousness: Implications for Regulation and Physician Recommendations: A Medical/Scientific Statement From the American Heart Association and the North American Society of Pacing and Electrophysiology Circulation, September 1, 1996; 94(5): 1147 - 1166. [Full Text]
|
|
|
|
|
|
S. L. Pinski and G. J. Fahy The Proarrhythmic Potential of Implantable Cardioverter-Defibrillators Circulation, September 15, 1995; 92(6): 1651 - 1664. [Abstract] [Full Text]
|
|
|
|
|
|
S. O. Nunain, M. Roelke, T. Trouton, S. Osswald, Y. H. Kim, G. Sosa-Suarez, D. R. Brooks, B. McGovern, M. Guy, D. F. Torchiana, et al. Limitations and Late Complications of Third-Generation Automatic Cardioverter-Defibrillators Circulation, April 15, 1995; 91(8): 2204 - 2213. [Abstract] [Full Text]
|
|
| HOME | SUBSCRIPTIONS | CURRENT ISSUE | PAST ISSUES | CARDIOSOURCE | SEARCH | HELP | FEEDBACK |
