Skip Navigation

Europace 2001 3(2):132-135; doi:10.1053/eupc.2001.0157
© 2001 by European Society of Cardiology
This Article
Right arrow FREE Full Text (PDF) Freely available
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (3)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Proclemer, A.
Right arrow Articles by Zecchin, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Proclemer, A.
Right arrow Articles by Zecchin, M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

REGULAR ARTICLES

Indications for dual-chamber cardioverter defibrillators at implant and at 1 year follow-up: a retrospective analysis in the single-chamber defibrillator era

A. Proclemer1, P. Della Bella2, D. Facchin1, L. Fattore1, C. Carbucicchio2, C. Tondo2, M. Lunati3, M. R. Vecchi3, E. Petz4 and M. Zecchin4

1Ospedale S.Maria della Misericordia Fondazione I.R.C.A.B. Udine, Italy; 2Centro Cardiologico Università di Milano, Italy; 3Ospedale Niguarda Milano, Italy; 4Ospedale Maggiore Trieste, Italy

AIM: This retrospective four-centre study assessed the current indications for dual-chamber implantable cardioverter defibrillators (ICDs) at implant and during a medium-term follow-up period in a group of patients treated by single-chamber ICD in the pre dual-chamber ICD era.

METHODS AND RESULTS: The study population consisted of 153 consecutive patients (127 males, mean age 58±6 years) treated by single-chamber ICD for ventricular tachycardia and/or ventricular fibrillation. Definite indications for having a dual-chamber ICD included the presence of sinus node dysfunction and of second- or third-degree atrioventricular (AV) block, while possible indications were represented by paroxysmal atrial fibrillation or flutter and first-degree AV block. At implant, dual-chamber ICD would appear definitely indicated in 10·5% of cases, and possibly indicated in an additional 17·5% of cases. During 12±10 months follow-up, such percentages remained stable (11 and 19·5%, respectively). Inappropriate ICD intervention was documented in five of 13 patients (38%), with episodes of paroxysmal atrial fibrillation or flutter.

CONCLUSION: In this non-selected study population, a dual-chamber ICD would have potentially benefited approximately 30% of the patients. During medium-term follow-up, there was no progression towards increasing dual-chamber ICD indications. The 15% cumulative incidence of paroxysmal atrial tachyarrhythmias justifies the activation of dedicated detection algorithms.

Key Words: Implantable cardioverter defibrillator, dual-chamber pacing

Correspondence: Dr Alessandro Proclemer, Istituto di Cardiologia, Ospedale S. Maria della Misericordia, Piazzale S. Maria della Misericordia, n. 15. 33100 Udine, Italy.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 J Am Coll CardiolHome page
B. Olshansky, R. Gopinathannair, and R. M. Sullivan
DAVID II did not slay Goliath.
J. Am. Coll. Cardiol., March 10, 2009; 53(10): 881 - 883.
[Full Text] [PDF]

Home page
 EuropaceHome page
A. Quesada, J.ús Almendral, F. Arribas, R. Ricci, C. Wolpert, P. Adragao, E. Cobo, X. Navarro, and on behalf DATAS investigators
The DATAS rationale and design: a controlled, randomized trial to assess the clinical benefit of dual chamber (DDED) defibrillator
Europace, January 1, 2004; 6(2): 142 - 150.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.