A preview of implantable cardioverter defibrillator systems in the next millennium: an integrative cardiac rhythm management approach

Morris, Milton M.; KenKnight, Bruce H.; Warren, Jay; Lang, Douglas J.

doi:10.1016/s0002-9149(98)01005-4

Cited by 17 publications

(13 citation statements)

References 31 publications

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“…The clinical efficacy of implantable cardioverter defibrillators (ICDs) in treating patients with a variety of cardiac problems is leading to increasing numbers of implants per year worldwide (AVID investigators, 1997; Bocker and Breithardt, 1999; Morris et al. , 1999; Kuck et al ., 2000; National Institute for Clinical Excellence (NICE), 2000, 2003; Moss et al ., 2002).…”

Section: Background To Studymentioning

confidence: 99%

Can nurses in cardiology areas prepare patients for implantable cardioverter defibrillator implant and life at home?

Tagney¹

2004

Nursing in Critical Care

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This study explored nurses' confidence and competence in preparing patients for having an implantable cardioverter defibrillator implanted and for life at home after discharge. Whilst research has identified various physical and psychosocial effects to patients and their partners associated with device implant and subsequent lifestyle adjustments, no research has explored nurses' knowledge of the device or these effects. A survey was designed using a purposive sample of 152 nurses from cardiology areas in four large teaching hospitals and a 28-point postal questionnaire to explore knowledge of the device and its impact. Most subjects were not confident in their abilities to prepare patients for implant or life at home after implant. Knowledge of the device and its effects appeared poorly understood by all nurses, irrespective of additional qualifications, length of time since qualifying or area of work. Many participants were aware of the poor knowledge level of nurses and identified it as a weakness in current care practices. Lack of understanding may impair preparation of patients for implantation of or for living with an implantable cardioverter defibrillator, and feasible strategies to change this situation will require careful consideration and further investment.

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Section: Background To Studymentioning

confidence: 99%

Can nurses in cardiology areas prepare patients for implantable cardioverter defibrillator implant and life at home?

Tagney¹

2004

Nursing in Critical Care

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“…These include the use of various metabolic or electrophysiological sensors that might herald the development of a cardiac arrhythmia before it occurs and use either pacing maneuvers, pharmacological agents, or modulation of autonomic activity to prevent an ICD discharge. 33,34 Recognition of a problem could lead to a pacing maneuver, drug infusion (through a port in one of the intracardiac leads and with a reservoir possibly in the generator), or both, and hopefully would prevent or treat the problem. All of this would be programmed by the physician, and the device could use artificial intelligence to "learn" and change parameters as needed.…”

Section: Evolution Of Icd Systemsmentioning

confidence: 99%

Evolution of the Implantable Cardioverter Defibrillator

Cannom

Prystowsky

2004

Cardiovasc electrophysiol

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“…However, although technology developed rapidly during the last 2 decades, several problems have only been partially solved. Although the biphasic waveform [7], more efficient device technology and leads [8] and different implant techniques [9, 10] significantly improved the defibrillation efficacy, a high defibrillation threshold (DFT) may still be encountered during the implantation [11,12,13,14,15]. This problem may become even more important with expansion of the indications and with an increasing number of implanting physicians [3, 4, 16].…”

Section: Introductionmentioning

confidence: 99%

Long-Term Follow-Up of Patients with Relatively High Effective Defibrillation Threshold during Cardioverter Defibrillator Implantation with Endocardial Leads

Rosenheck¹,

Sharon²,

Weiss³

2008

Cardiology

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Objective: We evaluated the 15-year outcome of patients with an implantable cardioverter defibrillator (ICD) and a relatively high defibrillation threshold (DFT). Methods: After ICD implantation, patients were allocated to 3 groups: DFT 24–25 J (16 patients), effective defibrillation with 18–20 J (20 patients) and DFT <15 J (118 patients). An abbreviated DFT test was used during the implantation. The follow-up duration was 15.5 years. Results: There was no significant difference between the survivals of the 3 groups, with a mean survival of 7.30 ± 4.51 years. In the ventricular fibrillation zone, 99.69, 100 and 100% of the episodes were successfully defibrillated in the 3 groups, respectively. In the ventricular tachycardia zone, 83.24, 92.86 and 95.39% of the episodes were terminated with pacing therapy. The small differences between the groups were not statistically significant. The testing method did not have an impact on survival or therapy success rate. Conclusions: A 24-joule DFT with a 10-joule safety window is safe during 15 years of follow-up.

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A preview of implantable cardioverter defibrillator systems in the next millennium: an integrative cardiac rhythm management approach

Cited by 17 publications

References 31 publications

Can nurses in cardiology areas prepare patients for implantable cardioverter defibrillator implant and life at home?

Can nurses in cardiology areas prepare patients for implantable cardioverter defibrillator implant and life at home?

Evolution of the Implantable Cardioverter Defibrillator

Long-Term Follow-Up of Patients with Relatively High Effective Defibrillation Threshold during Cardioverter Defibrillator Implantation with Endocardial Leads

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