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- W2159429940 abstract "Background: Inappropriate shock by implantable cardioverter defibrillators (ICD) remains a significant clinical problem. We evaluated a new algorithm for discriminating 1:1 SVT and VT, based on the response to atrial (A) and ventricular (V) anti-tachycardia pacing (ATP). Methods: 64 pts (age: 46 plusmn 16 yrs, 34 male, LVEF: 54 plusmn 11%) undergoing EP testing or SVT ablation underwent AATP and VATP through a customized external Marquis ICD once tachycardia was induced. The response to A or V ATP was classified as AT or non-AT according to predetermined criteria. Results: The V ATP algorithm correctly identified AT with a sensitivity of 70% (53%-82%) and specificity of 77% (61%-88%). The A ATP algorithm correctly identified AT with a sensitivity of 96% (84%-99%) and specificity of 91% (67%-98%). Conclusions: Analysis of cross chamber response patterns during and after ATP can successfully discriminate tachycardia mechanism and prevent inappropriate ICD shocks." @default.
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- W2159429940 date "2007-09-01" @default.
- W2159429940 modified "2023-09-26" @default.
- W2159429940 title "Atrial and ventricular anti-tachycardia pacing as a method of rhythm discrimination" @default.
- W2159429940 cites W2004846962 @default.
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- W2159429940 doi "https://doi.org/10.1109/cic.2007.4745453" @default.
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