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• W1900973921 abstract "Background: The purpose of this study was to determine the rate and causes of inappropriaterhythm detection, and to compare adequacy of ventricular arrhythmia detection by single-chamber and dual-chamber cardioverter-defibrillators (ICD). Methods: We evaluated 190 patients (age 57.2 ± 11.2 years) with ICD. Follow-up: 34.3 ±± 22 months. Dual-chamber ICD was used in 54 patients. Results: We evaluated 2244 arrhythmia events recognized as of ventricular origin, includingventricular tachycardia and ventricular fibrillation. 431 events (19.2%) were recognized erroneouslyand resulted in an inappropriate ICD discharge. Most cases of inappropriate therapies(182 events, 42.23%) were due to atrial fibrillation or flutter. Overall, inappropriate arrhythmiadetection was found in 64 (33.6%) of 190 patients. In terms of the number of affectedpatients, the most common cause of inappropriate ICD discharge was sinus tachycardia -23 (12.1%) patients, followed by atrial fibrillation - 16 (8.4%) patients. Among 54 patientswith dual-chamber ICD, inappropriate therapy was noted in 21 (38.8%) patients, (T waveoversensing, sinus tachycardia and atrial fibrillation etc.). No significant difference was seenin the rate of inappropriate therapy due to a rapid supraventricular rhythm between patientswith single-chamber versus dual-chamber ICD. In contrast, patients with single-chamber ICDmore often experienced inappropriate therapy due to atrial fibrillation (155 vs. 28 patients)and sinus tachycardia (66 vs. 9 patients). Conclusions: Despite of introduction of new generations of ICDs, the problem of inappropriateICD discharge could not be eliminated. The major problem is distinction between supraventriculararrhythmia and ventricular tachyarrhythmia." @default.
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• W1900973921 date "2009-01-01" @default.
• W1900973921 modified "2023-10-15" @default.
• W1900973921 title "Inappropriate cardioverter-defibrillator discharge continues to be a major problem in clinical practice." @default.
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