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Candidacy for a Subcutaneous Implantable Cardioverter Defibrillator in Patients with Cardiac Resynchronization Therapy.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kawabata, Mihoko Goya, M. Alvarez Takahashi, Yoshihide Shingo Yagishita, Atsuhiko Shirai, Yasuhiro Kaneko, Masakazu Shiohira, Shinya Hirao, Kenzou |
| Copyright Year | 2018 |
| Abstract | In patients requiring an implantable cardioverter defibrillator (ICD), the combined use of a prior pacemaker and a subcutaneous ICD (S-ICD) could be an alternative treatment option to implantation of new leads or upgrading of pacemakers to an ICD if vascular access is limited. Here, we assessed the prevalence of S-ICD's eligibility according to surface electrogram screening in those receiving cardiac resynchronization therapy (CRT). S-ICD's eligibility was assessed in patients with a CRT pacemaker or a CRT defibrillator using the S-ICD template screening tool. Eligibility was defined as fulfillment of the template in both supine and upright positions in one or more leads during biventricular pacing. Among 44 patients (34 men, age: 67 ± 12), 36 (82%) were found to be eligible. The T/QRS amplitude ratio in lead II was significantly lower in those who were eligible (0.31 ± 0.16 versus 0.44 ± 0.18 in the ineligible group, P = 0.04). The lead position, underlying disease, and other electrocardiographic findings were not different between those who were eligible and those who were not. The majority of patients with biventricular pacing were eligible for S-ICD based on current screening tests and may benefit from this treatment. Further study is required. |
| Starting Page | 951 |
| Ending Page | 958 |
| Page Count | 8 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.jstage.jst.go.jp/article/ihj/advpub/0/advpub_17-550/_pdf/-char/en |
| Alternate Webpage(s) | https://www.jstage.jst.go.jp/article/ihj/59/5/59_17-550/_pdf/-char/en |
| PubMed reference number | 30101850v1 |
| Alternate Webpage(s) | https://doi.org/10.1536/ihj.17-550 |
| DOI | 10.1536/ihj.17-550 |
| Journal | International heart journal |
| Volume Number | 59 |
| Issue Number | 5 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Artificial cardiac pacemaker Atrio-Biventricular Pacing Biventricular Pacemakers, Artificial Cardiac Resynchronization Therapy Clinical Use Template Defibrillators Eligibility Determination Entity Handling - upright Implantable Cardioverter-Defibrillator Placement Implantable defibrillator Implants Pathology diagnosis ICD code:Prid:Pt:^Patient:Nom Patients defibrillator/cardioverters |
| Content Type | Text |
| Resource Type | Article |
