Chronic rise in monophasic defibrillation thresholds with a transvenous lead system

被引:16
作者
Kirk, MM
Shorofsky, SR
Khalighi, K
Kavesh, NG
Peters, RW
Gold, MR
机构
[1] Department of Medicine, Division of Cardiology, Univ. of Maryland Medical System, Baltimore, MD
[2] Division of Cardiology, N3W77 Univ. of Maryland Hospital, Baltimore, MD 21201
关键词
D O I
10.1016/S0002-9149(96)00795-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study was a prospective evaluation of chronic changes of defibrillation thresholds in 31 clinically stable patients with a single transvenous lead, optimal shock polarity, and uniform testing protocol. At a mean follow-up of 273 +/- 146 days, defibrillation thresholds increased 26%, from 13.2 +/- 5.6 J to 17.1 +/- 6.0 J (p < 0.001), and shock impedance increased from 46.2 +/- 7.0 Ohm to 51.2 +/- 6.2. Ohm (p < 0.001).
引用
收藏
页码:502 / &
页数:5
相关论文
共 15 条
[1]   Transvenous defibrillation lead systems [J].
Gold, MR ;
Shorofsky, SR .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1996, 7 (06) :570-580
[2]   ENERGY, CURRENT, AND SUCCESS IN DEFIBRILLATION AND CARDIOVERSION - CLINICAL-STUDIES USING AN AUTOMATED IMPEDANCE-BASED METHOD OF ENERGY ADJUSTMENT [J].
KERBER, RE ;
MARTINS, JB ;
KIENZLE, MG ;
CONSTANTIN, L ;
OLSHANSKY, B ;
HOPSON, R ;
CHARBONNIER, F .
CIRCULATION, 1988, 77 (05) :1038-1046
[3]   NONTHORACOTOMY-IMPLANTABLE VERSUS THORACOTOMY-IMPLANTABLE DEFIBRILLATORS - INTENTION-TO-TREAT COMPARISON OF CLINICAL OUTCOMES [J].
KLEMAN, JM ;
CASTLE, LW ;
KIDWELL, GA ;
MALONEY, JD ;
MORANT, VA ;
TROHMAN, RG ;
WILKOFF, BL ;
MCCARTHY, PM ;
PINSKI, SL .
CIRCULATION, 1994, 90 (06) :2833-2842
[4]   CURRENT-BASED VERSUS ENERGY-BASED VENTRICULAR DEFIBRILLATION - A PROSPECTIVE-STUDY [J].
LERMAN, BB ;
DIMARCO, JP ;
HAINES, DE .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1988, 12 (05) :1259-1264
[5]   INCREASE IN DEFIBRILLATION THRESHOLD IN NON-THORACOTOMY IMPLANTABLE DEFIBRILLATORS USING A BIPHASIC WAVE-FORM [J].
MARTIN, DT ;
JOHN, R ;
VENDITTI, FJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1995, 76 (04) :263-266
[6]   ADEQUACY OF IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR LEAD PLACEMENT FOR TACHYARRHYTHMIA DETECTION BY SINUS RHYTHM ELECTROGRAM AMPLITUDE [J].
MICHELSON, BI ;
IGEL, DA ;
WILKOFF, BL .
AMERICAN JOURNAL OF CARDIOLOGY, 1995, 76 (16) :1162-1166
[7]   SERIAL DEFIBRILLATION THRESHOLD MEASURES IN MAN - A PROSPECTIVE CONTROLLED-STUDY [J].
POOLE, JE ;
BARDY, GH ;
DOLACK, GL ;
KUDENCHUK, PJ ;
ANDERSON, J ;
JOHNSON, G .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1995, 6 (01) :19-25
[8]   DEFIBRILLATION THRESHOLDS AND PERIOPERATIVE MORTALITY ASSOCIATED WITH ENDOCARDIAL AND EPICARDIAL DEFIBRILLATION LEAD SYSTEMS [J].
SAKSENA, S ;
BARDY, G ;
BENDITT, D ;
CHILSON, D ;
CONNOLLY, S ;
DORIAN, P ;
DOWNAR, E ;
DUBUC, M ;
ECHT, D ;
FISHER, J ;
FURMAN, S ;
FOGOROS, R ;
GULAMHUSEIN, S ;
HAFFAJEE, C ;
HAMMILL, S ;
IRWIN, J ;
JOSEPHSON, M ;
KLEIN, G ;
KRON, J ;
LEHMANN, M ;
MITCHELL, LB ;
PLATIA, E ;
PORTERFIELD, J ;
SPIELMAN, S ;
STEINMAN, R ;
SWERDLOW, C ;
TANG, A ;
WHEELAN, K ;
WILBER, D ;
ZIPES, D ;
ANDRESEN, D ;
BLOMSTROMLUNDQVIST, C ;
FURLANELLO, F ;
JORDAENS, L ;
KACET, S ;
LUDERITZ, B ;
ROSENQVIST, M ;
TOUBOUL, P .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1993, 16 (01) :202-207
[9]   POSTOPERATIVE LEAD-RELATED COMPLICATIONS IN PATIENTS WITH NONTHORACOTOMY DEFIBRILLATION LEAD SYSTEMS [J].
SCHWARTZMAN, D ;
NALLAMOTHU, N ;
CALLANS, DJ ;
PREMINGER, MW ;
GOTTLIEB, CD ;
MARCHLINSKI, FE .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1995, 26 (03) :776-786
[10]   Effects of waveform and polarity on defibrillation thresholds in humans using a transvenous lead system [J].
Shorofsky, SR ;
Gold, MR .
AMERICAN JOURNAL OF CARDIOLOGY, 1996, 78 (03) :313-316