Mechanisms and management of inappropriate therapy in subcutaneous implantable cardioverter defibrillators.

Subcutaneous implantable cardioverter defibrillators (S‐ICDs) provide reliable defibrillation and have enhanced supraventricular tachycardia discrimination and fewer infection rates compared with traditional transvenous systems. However, inappropriate shocks remain a frequent problem. Herein, we rev...

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Publicado en:Journal of Cardiovascular Electrophysiology Vol. 30; no. 3; pp. 402 - 410
Autores principales: Karnik, Ankur A., Helm, Robert H., Monahan, Kevin M.
Formato: algorithm review tables/charts tracings Journal Article
Publicado: Wiley-Blackwell Mar2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Wiley-Blackwell
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        atl: Mechanisms and management of inappropriate therapy in subcutaneous implantable cardioverter defibrillators.
      aug:
        au:
          Karnik, Ankur A.
          Helm, Robert H.
          Monahan, Kevin M.
        affil: Electrophysiology and Arrhythmia Service, Cardiology Division, Department of Medicine, Boston Medical Center, Boston Massachusetts
      sug:
        subj:
          Treatment Errors Prevention and Control
          Defibrillators, Implantable
          Defibrillation
          Tachycardia, Supraventricular
          Algorithms
          Recurrence Prevention and Control
          Preimplantation Diagnosis
          Health Screening
          Cardiomyopathy, Hypertrophic Therapy
          Brugada Syndrome Therapy
          Arrhythmogenic Right Ventricular Dysplasia Therapy
      ab: Subcutaneous implantable cardioverter defibrillators (S‐ICDs) provide reliable defibrillation and have enhanced supraventricular tachycardia discrimination and fewer infection rates compared with traditional transvenous systems. However, inappropriate shocks remain a frequent problem. Herein, we review the various mechanisms of these inappropriate therapies, some of which are unique to S‐ICDs, and propose an algorithm for preventing recurrences. Proper screening of preimplants is essential to help minimize inappropriate therapies, but patients with hypertrophic cardiomyopathy, Brugada syndrome, and arrhythmogenic right ventricular cardiomyopathy are at particular risk and may require additional measures.
      pubtype: Academic Journal
      doctype:
        algorithm
        review
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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