Cited 6 times in
Additional antitachycardia pacing programming strategies further reduce unnecessary implantable cardioverter-defibrillator shocks
DC Field | Value | Language |
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dc.contributor.author | 정보영 | - |
dc.date.accessioned | 2020-02-26T06:47:08Z | - |
dc.date.available | 2020-02-26T06:47:08Z | - |
dc.date.issued | 2020 | - |
dc.identifier.issn | 1547-5271 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/175286 | - |
dc.description.abstract | BACKGROUND: 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.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | HEART RHYTHM | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Additional antitachycardia pacing programming strategies further reduce unnecessary implantable cardioverter-defibrillator shocks | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Boyoung Joung | - |
dc.contributor.googleauthor | Daniel R. Lexcen | - |
dc.contributor.googleauthor | Chi-Keong Ching | - |
dc.contributor.googleauthor | Marc T. Silver | - |
dc.contributor.googleauthor | Jonathan P. Piccini | - |
dc.contributor.googleauthor | Laurence D. Sterns | - |
dc.contributor.googleauthor | Rafael Rabinovich | - |
dc.contributor.googleauthor | Robert A. Pickett | - |
dc.contributor.googleauthor | Shufeng Liu | - |
dc.contributor.googleauthor | Mark L. Brown | - |
dc.contributor.googleauthor | Alan Cheng | - |
dc.identifier.doi | 10.1016/j.hrthm.2019.07.027 | - |
dc.contributor.localId | A03609 | - |
dc.relation.journalcode | J00980 | - |
dc.identifier.eissn | 1556-3871 | - |
dc.identifier.pmid | 31369873 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S154752711930668X | - |
dc.subject.keyword | Antitachycardia pacing | - |
dc.subject.keyword | Implantable cardioverter-defibrillator | - |
dc.subject.keyword | Primary prevention | - |
dc.subject.keyword | Secondary prevention | - |
dc.subject.keyword | Shock | - |
dc.contributor.alternativeName | Joung, Bo Young | - |
dc.contributor.affiliatedAuthor | 정보영 | - |
dc.citation.volume | 17 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 98 | - |
dc.citation.endPage | 105 | - |
dc.identifier.bibliographicCitation | HEART RHYTHM, Vol.17(1) : 98-105, 2020 | - |
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