Failure of elective replacement indicator to predict end-of-life of the automatic implantable cardioverter-defibrillator.

A major limitation in the use of the automatic implantable cardioverter-defibrillator (A/CD) is limited battery longevity and the absence of an accurate and precise end-of-life indicator. An elective replacement indicator, or ERI, was proposed by the manufacturer of the A/CD in 1985. This ERI was ev...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 11; no. 5; pp. 569 - 575
Autores principales: Epstein AE, Shepard RB, Kirklin JK, Mcgiffin DC
Formato: research Journal Article
Publicado: Wiley-Blackwell May1988
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Failure of elective replacement indicator to predict end-of-life of the automatic implantable cardioverter-defibrillator.
      aug:
        au:
          Epstein AE
          Shepard RB
          Kirklin JK
          Mcgiffin DC
      sug:
        subj:
          Cardioversion Equipment and Supplies
          Prostheses and Implants
          Adult
          Aged
          Equipment Failure
          Evaluation Research
          Female
          Male
          Middle Age
          Power Sources
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: A major limitation in the use of the automatic implantable cardioverter-defibrillator (A/CD) is limited battery longevity and the absence of an accurate and precise end-of-life indicator. An elective replacement indicator, or ERI, was proposed by the manufacturer of the A/CD in 1985. This ERI was evaluated in nine patients with AICDs. The ERI was exceeded at a mean of 10.9 ± 3.0 months after implantation. Although 0.6 ± 0.4 months of battery life were predicted to remain before battery failure, the devices were followed for 6.0 ± 3.8 months (p = 0.002) during which time no device failed. Although .28.9 ± 21.9 seconds of charging time were predicted to remain, 103.5 ± 67.9 seconds were shown to be available by magnet charge time testing (p = 0.01). Thus, the ERI of the AICD, as originally proposed by its manufacturer, consistently underestimated both the predicted time to end-of-life as well as the cumulative charging time remaining before end-of-life for each AICD examined. We propose that this ERI not be used to predict end-of-life of the AICD. A 'new' ERI has been recommended.
      pubtype: Academic Journal
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    language: English
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