CONSIDERATIONS FOR VENTRICULAR-FIBRILLATION DETECTION BY IMPLANTABLE CARDIOVERTER-DEFIBRILLATORS

被引：14

作者：

JONES, GK ^{[1
]}

BARDY, GH ^{[1
]}

机构：

[1] UNIV WASHINGTON,SCH MED,DEPT MED,DIV CARDIOL,SEATTLE,WA 98195

来源：

AMERICAN HEART JOURNAL | 1994年 / 127卷 / 04期

关键词：

D O I：

10.1016/0002-8703(94)90096-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Implantable cardioverter defibrillator detection of ventricular fibrillation is inherently a complicated process. Nevertheless, there is a clinical imperative that ventricular fibrillation be detected with 100% sensitivity. Incumbent with the need for such a high sensitivity is a trade-off that results in diminished ventricular fibrillation detection specificity, which in turn results in unnecessary delivery of high-energy shocks. In this review we look in generic terms at the different lead and detection systems available and the effect of these systems on both undersensing and oversensing of ventricular fibrillation. In addition, several clinical and programming issues that affect sensitivity and specifity of ventricular fibrillation detection are reviewed.

引用

页码：1107 / 1110

页数：4

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