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Defibrillator Challenges for the New Millennium:
Author(s) -
FRIEDMAN PAUL A.,
GLIKSON MICHAEL,
STANTON MARSHALL S.
Publication year - 2000
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/j.1540-8167.2000.tb00034.x
Subject(s) - medicine , implantable cardioverter defibrillator , risk stratification , defibrillation , selection (genetic algorithm) , implant , dual function , cardiac resynchronization therapy , medical emergency , intensive care medicine , cardiology , heart failure , surgery , ejection fraction , computer science , computer graphics (images) , contouring , artificial intelligence
ICD Therapy. Although it has become clear that implantable cardioverter defibrillators (ICDs) are effective, important challenges remain for the physician. Due to the limitations of available risk stratification tools, patient selection for primary sudden death prevention remains controversial in many populations. Additionally, the proliferation of device choices has led to challenges in matching the appropriate device to the individual patient: device size is balanced against longevity: the advantages of dual chamber systems is weighed against their increased complexity; physician and patient preferences in device implant site are constrained by site‐dependent effects on defibrillation effectiveness and lead failure rates; and special consideration must be given to the patient with a preexisting pacemaker. After ICD placement, determination of appropriate follow‐up frequency and methodology to assess device function must be considered. This article will review patient selection, device implant site selection, device‐device interactions, single versus dual chamber ICD selection, and follow‐up.