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Optimal programming management of ventricular tachycardia storm in ICD patients
Ventricular tachycardia storm (VTS) is defined as a life-threatening syndrome of three or more separate episodes of ventricular tachycardia (VT) leading to implantable cardioverter defibrillator (ICD) therapy within 24 hours. Patients with VTS have poor outcomes and require immediate medical attenti...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Editorial Department of Journal of Biomedical Research
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4342433/ https://www.ncbi.nlm.nih.gov/pubmed/25745473 http://dx.doi.org/10.7555/JBR.29.20140146 |
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author | Qian, Zhiyong Guo, Jianghong Zhang, Zhiyong Wang, Yao Hou, Xiaofeng Zou, Jiangang |
author_facet | Qian, Zhiyong Guo, Jianghong Zhang, Zhiyong Wang, Yao Hou, Xiaofeng Zou, Jiangang |
author_sort | Qian, Zhiyong |
collection | PubMed |
description | Ventricular tachycardia storm (VTS) is defined as a life-threatening syndrome of three or more separate episodes of ventricular tachycardia (VT) leading to implantable cardioverter defibrillator (ICD) therapy within 24 hours. Patients with VTS have poor outcomes and require immediate medical attention. ICD shocks have been shown to be associated with increased mortality in several studies. Optimal programming in minimization of ICD shocks may decrease mortality. Large controlled trials showed that long detection time and high heart rate detection threshold reduced ICD shock burden without an increase in syncope or death. As a fundamental therapy of ICD, antitachycardia pacing (ATP) can terminate most slow VT with a low risk of acceleration. For fast VT, burst pacing is more effective and less likely to result in acceleration than ramp pacing. One algorithm of optimal programming management during a VTS is presented in the review. |
format | Online Article Text |
id | pubmed-4342433 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Editorial Department of Journal of Biomedical Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-43424332015-03-05 Optimal programming management of ventricular tachycardia storm in ICD patients Qian, Zhiyong Guo, Jianghong Zhang, Zhiyong Wang, Yao Hou, Xiaofeng Zou, Jiangang J Biomed Res Review Article Ventricular tachycardia storm (VTS) is defined as a life-threatening syndrome of three or more separate episodes of ventricular tachycardia (VT) leading to implantable cardioverter defibrillator (ICD) therapy within 24 hours. Patients with VTS have poor outcomes and require immediate medical attention. ICD shocks have been shown to be associated with increased mortality in several studies. Optimal programming in minimization of ICD shocks may decrease mortality. Large controlled trials showed that long detection time and high heart rate detection threshold reduced ICD shock burden without an increase in syncope or death. As a fundamental therapy of ICD, antitachycardia pacing (ATP) can terminate most slow VT with a low risk of acceleration. For fast VT, burst pacing is more effective and less likely to result in acceleration than ramp pacing. One algorithm of optimal programming management during a VTS is presented in the review. Editorial Department of Journal of Biomedical Research 2015-01 2015-01-05 /pmc/articles/PMC4342433/ /pubmed/25745473 http://dx.doi.org/10.7555/JBR.29.20140146 Text en 2015 the Journal of Biomedical Research. All rights reserved. |
spellingShingle | Review Article Qian, Zhiyong Guo, Jianghong Zhang, Zhiyong Wang, Yao Hou, Xiaofeng Zou, Jiangang Optimal programming management of ventricular tachycardia storm in ICD patients |
title | Optimal programming management of ventricular tachycardia storm in ICD patients |
title_full | Optimal programming management of ventricular tachycardia storm in ICD patients |
title_fullStr | Optimal programming management of ventricular tachycardia storm in ICD patients |
title_full_unstemmed | Optimal programming management of ventricular tachycardia storm in ICD patients |
title_short | Optimal programming management of ventricular tachycardia storm in ICD patients |
title_sort | optimal programming management of ventricular tachycardia storm in icd patients |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4342433/ https://www.ncbi.nlm.nih.gov/pubmed/25745473 http://dx.doi.org/10.7555/JBR.29.20140146 |
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