Fast ventricular tachycardias in patients with implantable cardioverter-defibrillators: Efficacy and safety of antitachycardia pacing - A prospective and randomized study

[EN]In this prospective, multicenter, randomized study of 137 patients with ICDs, the programming of antitachycardia pacing therapy (ATP) consisting of a burst of 5 pulses at 84% of the tachycardia cycle length (CL) reduced by 84% the incidence of shocks to treat fast ventricular tachycardias (FVT),...

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Detalles Bibliográficos
Autores: Jiménez Candil, Francisco Javier, Arenal, Ángel, García-Alberola, Arcadio, Ortíz, Mercedes, del Castillo, Silvia, Fernández-Portales, Javier, Sánchez-Muñoz, Juan, Martínez-Sánchez, Juan, González-Torrecilla, Esteban, Atienza, Felipe, Puchol, Alberto, Almendral, Jesús
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2005
País:España
Institución:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/160973
Acceso en línea:http://hdl.handle.net/10366/160973
Access Level:acceso abierto
Palabra clave:Antitachycardia pacing
Implantable cardioverter-defibrillator
Aged
Prospective Studies
Treatment Outcome
Humans
Defibrillators
Middle Aged
Tachycardia
desfibriladores
resultado del tratamiento
humanos
anciano
mediana edad
taquicardia
estudios prospectivos
Descripción
Sumario:[EN]In this prospective, multicenter, randomized study of 137 patients with ICDs, the programming of antitachycardia pacing therapy (ATP) consisting of a burst of 5 pulses at 84% of the tachycardia cycle length (CL) reduced by 84% the incidence of shocks to treat fast ventricular tachycardias (FVT), defined by a CL between 240-310 ms. The strategy based on ATP programming was associated with a reduction in episode duration (9.3 s ± 8.4 vs 14.8 ± 4.6 s; p<0.05) and the incidence of syncope/near-syncope due to FVT (3.7% vs. 54%; p<0.001). Beta- blocker therapy was associated with an increased ATP efficacy.