Incidence, presentation, diagnosis, and management of malfunctioning implantable cardioverter-defibrillator rate-sensing leads
dc.contributor.author | Daoud, Emile G. | en_US |
dc.contributor.author | Kirsh, Marvin M. | en_US |
dc.contributor.author | Bolling, Steven F. | en_US |
dc.contributor.author | Strickberger, S. Adam | en_US |
dc.contributor.author | Morady, Fred | en_US |
dc.contributor.author | Kou, William H. | en_US |
dc.date.accessioned | 2006-04-10T17:48:11Z | |
dc.date.available | 2006-04-10T17:48:11Z | |
dc.date.issued | 1994-11 | en_US |
dc.identifier.citation | Daoud, Emile G., Kirsh, Marvin M., Bolling, Steven F., Strickberger, S. Adam, Morady, Fred, Kou, William H. (1994/11)."Incidence, presentation, diagnosis, and management of malfunctioning implantable cardioverter-defibrillator rate-sensing leads." American Heart Journal 128(5): 892-895. <http://hdl.handle.net/2027.42/31233> | en_US |
dc.identifier.uri | http://www.sciencedirect.com/science/article/B6W9H-4BM5GN0-C4/2/8136f782ff6c13dc903179837f28de61 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/31233 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=7942480&dopt=citation | en_US |
dc.description.abstract | Recognition of tachyarrhythmia by an implantable cardioverter-defibrillator (ICD) requires an intact rate-sensing lead. We retrospectively examined 266 consecutive patients requiring an ICD to characterize the incidence, clinical presentation, diagnosis, and management of a defective rate-sensing lead. To identify clinical parameters that may contribute to lead complications, we also assessed the effects of age, gender, type of rate-sensing lead, manufacturer of the lead, and surgeon. Over a follow-up period of 30 +/- 22 months (mean +/- standard deviation), a defective lead was found in 9 (3.4%) patients, in 9 (1.7%) of 514 leads over a period of 2 to 39 (mean 17 +/- 15) months after implantation. Except for 1 patient, in whom a lead fracture was incidently found during ICD generator replacement, these patients had multiple inappropriate shocks of recent onset. Clinical parameters were not helpful in identifying patients at risk for lead complication. An abnormal beeping signal obtained while the patients performed various maneuvers was helpful in confirming a defect. All of the defective leads were epicardial. These cases were managed by placement of a transvenous endocardial lead. | en_US |
dc.format.extent | 457898 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Elsevier | en_US |
dc.title | Incidence, presentation, diagnosis, and management of malfunctioning implantable cardioverter-defibrillator rate-sensing leads | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | University of Michigan Hospital, Ann Arbor, Mich., USA | en_US |
dc.contributor.affiliationum | University of Michigan Hospital, Ann Arbor, Mich., USA; Department of Thoracic Surgery, Veterans Affairs Medical Center, Ann Arbor, Mich., USA. | en_US |
dc.contributor.affiliationother | Section of Cardiology, Department of Internal Medicine, Veterans Affairs Medical Center, Ann Arbor, Mich., USA | en_US |
dc.contributor.affiliationother | Section of Cardiology, Department of Internal Medicine, Veterans Affairs Medical Center, Ann Arbor, Mich., USA | en_US |
dc.contributor.affiliationother | Section of Cardiology, Department of Internal Medicine, Veterans Affairs Medical Center, Ann Arbor, Mich., USA | en_US |
dc.contributor.affiliationother | Section of Cardiology, Department of Internal Medicine, Veterans Affairs Medical Center, Ann Arbor, Mich., USA | en_US |
dc.identifier.pmid | 7942480 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/31233/1/0000136.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1016/0002-8703(94)90585-1 | en_US |
dc.identifier.source | American Heart Journal | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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