Mechanisms and management of inappropriate therapy in subcutaneous implantable cardioverter defibrillators

被引：6
|
作者：
Karnik, Ankur A. [1 ]
Helm, Robert H. [1 ]
Monahan, Kevin M. [1 ]
机构：
[1] Boston Med Ctr, Dept Med, Div Cardiol, Electrophysiol & Arrhythmia Serv, Boston, MA USA
来源：
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY | 2019年 / 30卷 / 03期
关键词：
hypertrophic cardiomyopathy (HCM); ICD (implantable cardioverter defibrillators) shock; inappropriate therapy; oversensing; subcutaneous ICD (S-ICDs); HYPERTROPHIC CARDIOMYOPATHY; SHOCKS; RISK; PERFORMANCE; PREDICTORS; EFFORTLESS;
D O I：
10.1111/jce.13831
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
引用
收藏
页码：402 / 409
页数：8
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