کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2922888 1175858 2010 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Randomized comparison of defibrillation thresholds from the right ventricular apex and outflow tract
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Randomized comparison of defibrillation thresholds from the right ventricular apex and outflow tract
چکیده انگلیسی

BackgroundImplantable cardioverter-defibrillator (ICD) leads are traditionally placed in the right ventricular apex (RVA), in part because this is considered the preferred vector for minimizing defibrillation threshold (DFT). However, if adequate DFT safety margins are attainable, ICD leads placed in the right ventricular outflow tract (RVOT) might confer advantages if frequent ventricular pacing is anticipated.ObjectiveThe purpose of this study was to compare RVA with RVOT transvenous ICD lead position on DFT.MethodsThis was a prospective, randomized, crossover study of RVA versus RVOT DFT in 33 patients undergoing left pectoral ICD placement. A binary search algorithm was used to measure DFT, with initial lead position tested in randomized order. The relationship between RVOT position and DFT was assessed by evaluation of the distance between RVA and RVOT.ResultsThe study population had a mean age of 59 ± 12 years and ejection fraction of 33% ± 14%. Mean DFT in the RVA was 9.8 ± 7.3 J versus 10.8 ± 7.2 J in the RVOT (P = .53), with no correlation between RVOT location and DFT.ConclusionThe study found no evidence that ICD lead placement in the RVOT is associated with significantly higher DFT than lead placement in the RVA.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Heart Rhythm - Volume 7, Issue 11, November 2010, Pages 1561–1566
نویسندگان
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