Author/Editor | Zupan, Igor | |
Title | Vsadni defibrilatorji | |
Translated title | Implantable defibrillators | |
Type | članek | |
Source | In: Kenda MF, Rakovec P, editors. Sodobna obravnava motenj srčnega ritma. 9. kardiološki dnevi; 2000 okt 20-21; Šmarješke toplice. Ljubljana: Združenje kardiologov Slovenije, | |
Publication year | 2000 | |
Volume | str. 109-14 | |
Language | slo | |
Abstract | Implantable defibrillators have become the dominant therapeutic modality for patients with lifethreatening ventricular arrhythmias. Current defibrillators are small and implanted with techniques similar to standard pacemakers. They provide high-energy shocks for ventricular fibrillation and rapid ventricular tachycardia, antitachycardia pacing for monomorphic ventricular tachycardia, as well as antibradycardia pacing. Newer devices incorporating an atrial lead allow dual chamber pacing and better discrimination between ventricular and supraveniricular tachyarrhythmias. Randomized controlled trials have shown superior survival with implantable defibrillators than with antiarrhythmic drugs in survivors of life-threatening ventricular tachyarrhythmias and in high-risk patients with coronary artery disease. Complications associated with implantable defibrillators therapy include infection, lead failure, and spurious shocks for supraventricular tachyarrhythmias. Most patients adapt well to living with an implantable defibrillator, although driving often has to be restricted. The use of implantable defibrillators is likely to continue to expand in future. Ongoing clinical trials will define further prophylactic indications of the implantable defibrillators and clarify cost-effectivenes in different clinical settings. | |
Descriptors | DEFIBRILLATORS, IMPLANTABLE TACHYCARDIA, VENTRICULAR VENTRICULAR FIBRILLATION QUALITY OF LIFE DEATH, SUDDEN, CARDIAC |