Avtor/Urednik		Rakovec, P; Brecelj, A
Naslov		Zdravljenje tahikardnih motenj ritma z implantabilnimi električnimi napravami
Prevedeni naslov		Implantable electric devices for treatment of tachyarrhythmias
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 63, št. 5
Leto izdaje		1994
Obseg		str. 289-93
Jezik		slo
Abstrakt		Background. Implantable pacemakers have been used for preventing or terminating supraventricular and ventricular tachycardia. Because of the potential for rate acceleration their use has been restricted to a rather small subset of patients. The automatic implantable cardioverter/defibrillator has become treatment of choice in preventing sudden arrhythmic cardiac death. Methods and results. At our institution 6 antitachycardia pacemakers were implanted. 3 pacemakers were manually activated (1 activated by magnet for underdrive, i.e. slow competitive pacing, and 2 radiofrequency activated for overdrive burst pacing) and 3 were automatic antitachycardia pacers. Through the overall results have been good and the performance of pacemakers has been in accordance with expectations, there have been many problems with fine tuning of programmable values and specific tailoring of adjunctive therapy to the patients' needs. 5 implantable cardioverters/defibrillators were implanted in patients with life-threatening ventricular tachycardia or fibrillation. All devices have been functioning perfectly. Conclusions. Because of success of radiofrequency ablations the use of antitachycardia pacemakers for supraventricular tachycardia will decrease. On the other hand, the combined devices, comprising antitachycardia pacing cardioversion and defibrillation, will be more frequently used for treatment of ventricular tachyarrhythmias.
Deskriptorji		TACHYCARDIA, SUPRAVENTRICULAR TACHYCARDIA, VENTRICULAR DEFIBRILLATORS, IMPLANTABLE ELECTRIC STIMULATION ELECTROCARDIOGRAPHY