Reprogramming the tachycardia parameters with long-detection strategy in patients with pre-existing implantable cardioverter-defibrillator

Background: A long-detection interval (LDI) programming has been proved to reduce shock therapy in patients who underwent de novo implantable cardioverter defibrillator (ICD) implantation. We aimed to evaluate effectiveness and safety of this new strategy in old ICD recipients. Methods: We included 147 primary prevention patients with ischaemic and non-ischaemic aetiology. Conventional setting parameters (18 of 24 intervals to detect ventricular arrhythmias (VA's)) were reprogrammed with LDI strategy (30 of 40 intervals to detect VA's). One monitoring zone (between 360 and 330 ms) and two therapy zones were programmed, treating all rhythms of cycle length <330ms that met the duration criterion of 30/40 intervals and were discriminated as ventricular tachycardia/ventricular fibrillation (VT/VF). The supraventricular tachycardia (SVT) discriminators were used in all patients. Results: At a median follow-up of 24 months, 12.9% (n = 19) of patients received shock therapies (+/- antitachycardia pacing (ATP)). Appropriate and inappropriate shocks occurred in 7.5 and 5.4% of patients during follow-up, respectively. Only one patient experienced an arrhythmic syncope during the follow-up period. There was no death related to LDI programming. The LDI programming helped to stop unnecessary in 10 patients (6.8%), who otherwise would have been treated in the conventional programming. Conclusions: LDI programming was found safe and effective. Hence, old ICD recipients will benefit from this strategy.

Yazar Bozyel, Serdar
Aktas, Mujdat
Mutluer, Ferit Onur
Guler, Turner Erdem
Dervis, Emir
Argan, Onur
Celikyurt, Umut
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3261
Tek Biçim Adres 10.1080/00015385.2018.1488664
Konu Başlıkları Implantable cardioverter-defibrillator
long detection strategy
reprogramming
shock reduction
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı ACTA CARDIOLOGICA
Dergi Cilt Bilgisi 74
Dergi Sayısı 3
Sayfalar 246 - 251
Yayın Yılı 2019
Eser Adı
[dc.title]
Reprogramming the tachycardia parameters with long-detection strategy in patients with pre-existing implantable cardioverter-defibrillator
Yazar
[dc.contributor.author]
Bozyel, Serdar
Yazar
[dc.contributor.author]
Aktas, Mujdat
Yazar
[dc.contributor.author]
Mutluer, Ferit Onur
Yazar
[dc.contributor.author]
Guler, Turner Erdem
Yazar
[dc.contributor.author]
Dervis, Emir
Yazar
[dc.contributor.author]
Argan, Onur
Yazar
[dc.contributor.author]
Celikyurt, Umut
Yayın Yılı
[dc.date.issued]
2019
Yayıncı
[dc.publisher]
TAYLOR & FRANCIS LTD
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Background: A long-detection interval (LDI) programming has been proved to reduce shock therapy in patients who underwent de novo implantable cardioverter defibrillator (ICD) implantation. We aimed to evaluate effectiveness and safety of this new strategy in old ICD recipients. Methods: We included 147 primary prevention patients with ischaemic and non-ischaemic aetiology. Conventional setting parameters (18 of 24 intervals to detect ventricular arrhythmias (VA's)) were reprogrammed with LDI strategy (30 of 40 intervals to detect VA's). One monitoring zone (between 360 and 330 ms) and two therapy zones were programmed, treating all rhythms of cycle length <330ms that met the duration criterion of 30/40 intervals and were discriminated as ventricular tachycardia/ventricular fibrillation (VT/VF). The supraventricular tachycardia (SVT) discriminators were used in all patients. Results: At a median follow-up of 24 months, 12.9% (n = 19) of patients received shock therapies (+/- antitachycardia pacing (ATP)). Appropriate and inappropriate shocks occurred in 7.5 and 5.4% of patients during follow-up, respectively. Only one patient experienced an arrhythmic syncope during the follow-up period. There was no death related to LDI programming. The LDI programming helped to stop unnecessary in 10 patients (6.8%), who otherwise would have been treated in the conventional programming. Conclusions: LDI programming was found safe and effective. Hence, old ICD recipients will benefit from this strategy.
Açıklama
[dc.description]
WOS: 000490262200009
Açıklama
[dc.description]
PubMed: 30058473
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Implantable cardioverter-defibrillator
Konu Başlıkları
[dc.subject]
long detection strategy
Konu Başlıkları
[dc.subject]
reprogramming
Konu Başlıkları
[dc.subject]
shock reduction
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0001-5385
ISSN
[dc.identifier.issn]
1784-973X
İlk Sayfa Sayısı
[dc.identifier.startpage]
246
Son Sayfa Sayısı
[dc.identifier.endpage]
251
Dergi Adı
[dc.relation.journal]
ACTA CARDIOLOGICA
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
74
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1080/00015385.2018.1488664
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3261
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
10
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
22 Şubat 2024 06:46
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Tıklayınız
patients programming follow-up intervals strategy during recipients ventricular detect therapy inappropriate (ATP)) Appropriate pacing occurred shocks Background antitachycardia tachycardia discriminators Results median months received therapies arrhythmic benefit effective Conclusions conventional treated otherwise respectively unnecessary helped
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