0 117

Cited 1 times in

Additional antitachycardia pacing programming strategies further reduce unnecessary implantable cardioverter-defibrillator shocks

DC FieldValueLanguage
dc.contributor.author정보영-
dc.date.accessioned2020-02-26T06:47:08Z-
dc.date.available2020-02-26T06:47:08Z-
dc.date.issued2020-
dc.identifier.issn1547-5271-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/175286-
dc.description.abstractBACKGROUND: Antitachycardia pacing (ATP) is routinely used to terminate ventricular tachyarrhythmias (VTs). However, little guidance exists on the most effective programming of ATP. OBJECTIVE: This study evaluated whether additional ATP sequences are more effective in reducing implantable cardioverter-defibrillator shocks. METHODS: In patients from the Shock-Less study, the number of overall shocks were compared between patients programmed to ≤3 ATP sequences (VT zone) and ≤1 ATP sequence (fast ventricular tachycardia [FVT] zone) (nominal group) and patients programmed to receive additional ATP sequences in VT (>3) or FVT (>1) zones. RESULTS: Of the 4112 patients (15% receiving secondary prevention; 77% men; mean age 65.9 ± 12.6 years), 1532 patients (37%) were programmed with additional ATP sequences (1025 with >3 ATP sequences in the VT zone; 699 patients with >1 ATP sequence in the FVT zone). Over a mean follow-up period of 19.6 ± 10.7 months, 4359 VT/FVT episodes occurred in 591 patients. Compared with the nominal group, in patients with additional ATP programming, there was a 39% reduction in the number of shocked VT episodes (0.46 episodes per patient-year vs 0.28 episodes per patient-year; incidence rate ratio [IRR] 0.61; P < .001) and a 44% reduction in the number of shocked FVT episodes (0.83 episodes per patient-year vs 0.47 episodes per patient-year; IRR 0.56; P < .001). The reduction in shocked VT episodes was observed in both primary (IRR 0.68; 95% confidence interval 0.51-0.90; P = .007) and secondary (IRR 0.51; 95% confidence interval 0.35-0.72; P < .001) prevention patients. CONCLUSION: Programming more than the nominal number of ATP sequences in both the VT and FVT zones is associated with a lower occurrence of implantable cardioverter-defibrillator shocks in clinical practice.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfHEART RHYTHM-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleAdditional antitachycardia pacing programming strategies further reduce unnecessary implantable cardioverter-defibrillator shocks-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorBoyoung Joung-
dc.contributor.googleauthorDaniel R. Lexcen-
dc.contributor.googleauthorChi-Keong Ching-
dc.contributor.googleauthorMarc T. Silver-
dc.contributor.googleauthorJonathan P. Piccini-
dc.contributor.googleauthorLaurence D. Sterns-
dc.contributor.googleauthorRafael Rabinovich-
dc.contributor.googleauthorRobert A. Pickett-
dc.contributor.googleauthorShufeng Liu-
dc.contributor.googleauthorMark L. Brown-
dc.contributor.googleauthorAlan Cheng-
dc.identifier.doi10.1016/j.hrthm.2019.07.027-
dc.contributor.localIdA03609-
dc.relation.journalcodeJ00980-
dc.identifier.eissn1556-3871-
dc.identifier.pmid31369873-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S154752711930668X-
dc.subject.keywordAntitachycardia pacing-
dc.subject.keywordImplantable cardioverter-defibrillator-
dc.subject.keywordPrimary prevention-
dc.subject.keywordSecondary prevention-
dc.subject.keywordShock-
dc.contributor.alternativeNameJoung, Bo Young-
dc.contributor.affiliatedAuthor정보영-
dc.citation.volume17-
dc.citation.number1-
dc.citation.startPage98-
dc.citation.endPage105-
dc.identifier.bibliographicCitationHEART RHYTHM, Vol.17(1) : 98-105, 2020-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.