Long-term follow-up of children and young adults treated with implantable cardioverter-defibrillator: the authors' own experience with optimal implantable cardioverter-defibrillator programming

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Michal LewandowskiAndrzej Przybylski

Abstract

Young implantable cardioverter-defibrillator (ICD) recipients present a high rate of inappropriate interventions. Some of them are caused by suboptimal pre-discharge programming of the device. There are conflicting data as regards antitachycardia pacing (ATP) effectiveness in children and young adults. We report our experience with ICD programming and a rate of complications during a 10 year follow-up. We analysed the use and effectiveness of ATP and complications rate in 63 patients aged 6-21 years. Antitachycardia pacing (burst or ramp) was programmed ON in 14 patients (22%), 49 patients (78%) had only ventricular fibrillation (VF) therapy when discharged after implantation. The incidence of effective vs. ineffective or harmful ATP therapy: 5% of patients vs. 19% of patients differed significantly (P < 0.05). Fourteen patients (22%) received > or =1 appropriate shock(s) for ventricular tachycardia/VF and 17 patients (27%) had one or multiple inappropriate therapy (IT). Inappropriate therapy resulted from T-wave over-sensing (nine patients), sinus tachycardia (three patients), fast atrial fibrillation (five patients), and lead insulation disruption (1%). Reprogramming of the device eliminated IT in all cases. There were 13 (21...Continue Reading

References

Jun 2, 2000·Pacing and Clinical Electrophysiology : PACE·P S FischbachG A Serwer
Apr 20, 2001·The Annals of Thoracic Surgery·M G HazekampR A Dion
Nov 9, 2001·Journal of Cardiovascular Electrophysiology·B A LoveC I Berul
Jan 31, 2002·Pacing and Clinical Electrophysiology : PACE·H AntretterG Laufer
May 17, 2002·Current Opinion in Cardiology·Kevin M Shannon
Jul 16, 2002·JAMA : the Journal of the American Medical Association·Laura Cooling
Aug 3, 2002·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Christopher B StefanelliPeter S Fischbach
Feb 12, 2005·Mayo Clinic Proceedings·Christopher L Sola, J Michael Bostwick
Jul 30, 2005·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Adrian K AlmquistBarry J Maron
Jan 13, 2006·Journal of Cardiovascular Electrophysiology·Jacques Billette, Michel Lavallée
Jul 27, 2007·JAMA : the Journal of the American Medical Association·Barry J MaronPaolo Bruzzi

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Citations

Aug 28, 2012·Current Treatment Options in Cardiovascular Medicine·Christian J Turner, Elizabeth A Stephenson
Nov 19, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Constantinos O'MahonyPerry Elliott
Feb 7, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Peter A ZartnerMartin B Schneider
Jan 22, 2013·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Michael J GriksaitisJohn M Morgan
Oct 22, 2010·Circulation Journal : Official Journal of the Japanese Circulation Society·Barry J Maron
Dec 19, 2013·Future Cardiology·Natalia A Trayanova
Jan 26, 2013·Current Opinion in Cardiology·Ingegerd Östman-SmithRobert E Shaddy
Aug 29, 2012·Heart, Lung & Circulation·Matthew R Webber, Martin K Stiles
Jul 7, 2012·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Yuvraj KalraPrince J Kannankeril
Nov 20, 2015·Heart & Lung : the Journal of Critical Care·Nina K HumphreysPaul D Bennett
Oct 30, 2016·Pacing and Clinical Electrophysiology : PACE·Hayrettin Hakan AykanSuheyla Ozkutlu
Oct 20, 2011·Circulation. Arrhythmia and Electrophysiology·Jayanthi N KoneruKenneth A Ellenbogen
Jul 13, 2018·Pediatrics International : Official Journal of the Japan Pediatric Society·Michał LewandowskiHanna Szwed

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