Initial clinical experience with a new arrhythmia detection algorithm in dual chamber implantable cardioverter defibrillators.

Autor: Theuns, D., Klootwijk, A. P., Kimman, G. P., Szili-Török, T., Roelandt, J. R. T. C., Jordaens, L.
Zdroj: EP: Europace; 2001, Vol. 3 Issue 3, p181-186, 6p
Abstrakt: Aim Inappropriate therapy, due to poor discrimination of supraventricular tachycardia (SVT) from ventricular tachycardia (VT) remains a major problem in patients with an implantable cardioverter defibrillator (ICD). Theoretically, the addition of atrial sensing in discrimination algorithms should improve this differentiation. The aim of the study is to evaluate the performance of a new tachycardia discrimination algorithm, SMART Detection™. Methods and Results Twenty-six patients received a non-thoracotomy ICD system (Phylax AV, Biotronik, Germany). All documented spontaneous arrhythmia episodes were analyzed. Conclusion With the SMART Detection™ algorithm, discrimination of VT from SVT achieved a sensitivity of 100%, with an accuracy of 95·6% for all ventricular arrhythmias. In the case of SVT, the algorithm appropriately detected and inhibited therapy in 88% of atrial fibrillation. [ABSTRACT FROM PUBLISHER]
Databáze: Complementary Index