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Heart rate turbulence predicts ICD-resistant mortality in ischaemic heart disease
Author(s) -
Thomas Marynissen,
Vincent Floré,
Hein Heidbüchel,
Dieter Nuyens,
Joris Ector,
Rik Willems
Publication year - 2013
Publication title -
ep europace
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 2.119
H-Index - 102
eISSN - 1532-2092
pISSN - 1099-5129
DOI - 10.1093/europace/eut303
Subject(s) - medicine , heart rate turbulence , cardiology , ejection fraction , implantable cardioverter defibrillator , ventricular tachycardia , heart failure , sudden cardiac death , heart rate , heart rate variability , blood pressure
In high-risk patients, implantable cardioverter-defibrillators (ICDs) can convert the mode of death from arrhythmic to pump failure death. Therefore, we introduced the concept of 'ICD-resistant mortality' (IRM), defined as death (a) without previous appropriate ICD intervention (AI), (b) within 1 month after the first AI, or (c) within 1 year after the initial ICD implantation. Implantable cardioverter-defibrillator implantation in patients with a high risk of IRM should be avoided.

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