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Sudden death in patients with implantable cardioverter defibrillators

The importance of post-shock electromechanical dissociation

L. Brent Mitchell, MD, FACC^*,*, Edgar A. Pineda, MD, Jack L. Titus, MD, Paulette M. Bartosch and David G. Benditt, MD, FACC^||

^* Foothills Hospital/University of Calgary, Calgary, Alberta, Canada
Cardiac Surgical Associates, Minneapolis, Minnesota, USA
Jesse E. Edwards Registry of Cardiovascular Disease of United Hospital, St. Paul, Minnesota, USA
Medtronic Inc., Minneapolis, Minnesota, USA
^|| University of Minnesota, Minneapolis, Minnesota, USA

View larger version (54K): [in a new window]   Figure 1 Frequency distribution pie chart for adjudicated mechanisms of SD of 68 consecutive patients with a non-thoracotomy implantable cardioverter defibrillator (ICD) during pre-clinical device evaluation. The portion labeled VT/VF-OTHER includes one each of conversion of supraventricular tachyarrhythmia to ventricular fibrillation (VF), untreated ventricular tachycardia (VT) (as programmed), failure to redetect VT/VF after a shock therapy and trauma from a motor vehicle accident secondary to treated VT/VF. EMD = electromechanical dissociation.