Long-time 'real-life' performance of the subcutaneous ICD in patients with electrical heart disease or idiopathic ventricular fibrillation
| Autor: | Florian Reinke, Julia Köbe, Simon Kochhäuser, Dirk G. Dechering, Markus Bettin, Lars Eckardt, Gerrit Frommeyer |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Heart disease 030204 cardiovascular system & hematology Implantable defibrillator Single Center Sudden cardiac death 03 medical and health sciences 0302 clinical medicine Physiology (medical) Internal medicine medicine Humans In patient Longitudinal Studies 030212 general & internal medicine Idiopathic ventricular fibrillation Adverse effect Heart Failure Inappropriate shock business.industry Equipment Design medicine.disease Defibrillators Implantable Equipment Failure Analysis Death Sudden Cardiac Treatment Outcome Ventricular Fibrillation Cardiology Feasibility Studies Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Interventional Cardiac Electrophysiology. 47:185-188 |
| ISSN: | 1572-8595 1383-875X |
| DOI: | 10.1007/s10840-016-0143-4 |
| Popis: | The totally subcutaneous implantable defibrillator (S-ICD) has been designed as a new alternative to conventional implantable defibrillators. This system is especially attractive for young patients. However, long-term experience is not yet available. To address the question whether the S-ICD system is safe and feasible for young patients with electrical heart disease or idiopathic ventricular fibrillation (VF), the data of a standard of care prospective single center S-ICD registry were evaluated. In the present study, 24 patients (age 34.2 ± 11.5 years) with electrical heart disease or idiopathic VF received an S-ICD for primary (n = 8) or secondary prevention (n = 16). The mean follow-up duration was 29.6 ± 15.1 months. Ventricular arrhythmias were adequately detected in four patients (17 %). In three patients (13 %) oversensing was noticed and led to at least one inappropriate shock in two patients (8 %). Further adverse events included surgical revision due to a mobile pulse generator as well as explantation of one system and switch to a transvenous ICD system due to several ineffective shocks. The results of the present study suggest that S-ICD therapy may be an attractive alternative in young patients with electrical heart disease or idiopathic VF. However, episodes of oversensing as well as ineffective shocks may occur. |
| Databáze: | OpenAIRE |
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