The pacer-cardioverter-defibrillator: function and clinical experience.

Abstract:

:Pacer-Cardioverter-Defibrillator. This article reviews the function of the pacer-cardioverter-defibrillator (PCD). Detection of ventricular arrhythmias occurs in two programmable zones, with onset and stability modifiers available to diminish overdetection of sinus tachycardia and atrial fibrillation, respectively. The sensing circuitry utilizes an auto-adjusting sensitivity with exponential decay to allow detection of low-amplitude ventricular fibrillation electrograms without T wave oversensing. Treatment can be accomplished by tiered therapy with two types of antitachycardia pacing, cardioversion and defibrillation. Cardioversion and defibrillation shocks are programmable between single pathway when two leads are used and simultaneous or sequential shock delivery when a three-lead system is used. A telemetered marker channel and electrogram aid in assessing device function during implantation and follow-up. Previously published literature is cited to expand on various aspects of PCD function and programming.

authors

Friedman PA,Stanton MS

doi

10.1111/j.1540-8167.1995.tb00757.x

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

48-68

issue

1

eissn

1045-3873

issn

1540-8167

journal_volume

6

pub_type

杂志文章,评审
  • Cerebral diffusion-weighted magnetic resonance imaging: a tool to monitor the thrombogenicity of left atrial catheter ablation.

    abstract:INTRODUCTION:Cerebral embolism and stroke are feared complications of left atrial catheter ablation such as pulmonary vein (PV) ablation. In order to assess the thrombogenicity of left atrial catheter ablation, knowledge of both clinically evident as well as silent cerebral embolism is important. The aim of the current...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2005.00279.x

    authors: Lickfett L,Hackenbroch M,Lewalter T,Selbach S,Schwab JO,Yang A,Balta O,Schrickel J,Bitzen A,Lüderitz B,Sommer T

    更新日期:2006-01-01 00:00:00

  • Cavotricuspid isthmus ablation and subcutaneous monitoring device implantation in a 2-year-old baby with 2 SCN5A mutations, sinus node dysfunction, atrial flutter recurrences, and drug induced long-QT syndrome: a tricky case of pediatric overlap syndrome?

    abstract::We describe the case of 2-year-old baby with compound heterozygosity for paternal and maternal alleles mutation of α-subunit of the cardiac sodium channel (SCN5A), sinus node dysfunction, atrial flutter recurrences, and drug induced long-QT syndrome. In this setting, we chose at first to perform linear ablation of cav...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12570

    authors: De Filippo P,Ferrari P,Iascone M,Racheli M,Senni M

    更新日期:2015-03-01 00:00:00

  • Effect of pacing the right ventricular mid-septum tract in patients with permanent atrial fibrillation and low ejection fraction.

    abstract:INTRODUCTION:Permanent right ventricular (RV) pacing leads have been traditionally implanted in the right ventricular apex (RVA). Nowadays, some deleterious effects of RVA pacing have been recognized. The aim of this study was to evaluate the effect of different sites of RV pacing in patients with permanent atrial fibr...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.00914.x

    authors: Muto C,Ottaviano L,Canciello M,Carreras G,Calvanese R,Ascione L,Iengo R,Accadia M,Celentano E,Tuccillo B

    更新日期:2007-09-01 00:00:00

  • Consequences of chronic frequent premature atrial contractions: Association with cardiac arrhythmias and cardiac structural changes.

    abstract:INTRODUCTION:Frequent premature ventricular contractions (PVCs) can cause cardiomyopathy (CM). Postextrasystolic potentiation (PESP) and irregularity have been in implicated as triggers of PVC-CM. Because both phenomena can also be found in premature atrial contractions (PACs), it is speculated that frequent PACs have ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14067

    authors: Gunda S,Akyeampong D,Gomez-Arroyo J,Jovin DG,Kowlgi NG,Kaszala K,Tan AY,Koneru JN,Kron J,Ellenbogen KA,Huizar JF

    更新日期:2019-10-01 00:00:00

  • Endo-epicardial ablation vs endocardial ablation for the management of ventricular tachycardia in arrhythmogenic right ventricular cardiomyopathy: A systematic review and meta-analysis.

    abstract:BACKGROUND:The pathologic process of ARVC (arrhythmogenic right ventricular cardiomyopathy) typically originates in the epicardium or subepicardial layers with progression toward endocardium. However, in the most recent ARVC international task force consensus statement, epicardial ventricular tachycardia (VT) ablation ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14593

    authors: Romero J,Patel K,Briceno D,Alviz I,Gabr M,Diaz JC,Trivedi C,Mohanty S,Della Rocca D,Al-Ahmad A,Yang R,Rios S,Cerna L,Du X,Tarantino N,Zhang XD,Lakkireddy D,Natale A,Di Biase L

    更新日期:2020-08-01 00:00:00

  • Importance of catheter contact force during irrigated radiofrequency ablation: evaluation in a porcine ex vivo model using a force-sensing catheter.

    abstract:INTRODUCTION:Ablation electrode-tissue contact has been shown to be an important determinant of lesion size and safety during nonirrigated ablation but little data are available during irrigated ablation. We aimed to determine the importance of contact force during irrigated-tip ablation. METHODS AND RESULTS:Freshly e...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01693.x

    authors: Thiagalingam A,D'Avila A,Foley L,Guerrero JL,Lambert H,Leo G,Ruskin JN,Reddy VY

    更新日期:2010-07-01 00:00:00

  • Prognostic value of signal-averaged electrocardiogram in Chagas disease.

    abstract:BACKGROUND:The value of signal-averaged ECG (SAECG) in the risk stratification of Chagas disease (ChD), a potentially lethal illness prevalent in Latin America, remains controversial. The aim of this prospective longitudinal study was to determine the prognostic value of SAECG in ChD, using multivariate models with oth...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.01088.x

    authors: Ribeiro AL,Cavalvanti PS,Lombardi F,Nunes Mdo C,Barros MV,Rocha MO

    更新日期:2008-05-01 00:00:00

  • A regular wide QRS complex tachycardia: What is the mechanism?

    abstract::A 14-year-old girl with a history of recurrent palpitations and documented wide QRS complex tachycardia was referred for electrophysiologic study and catheter ablation. ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type:

    doi:10.1111/jce.13905

    authors: Arias MA,Puchol A,Pachón M,Martín-Sierra C

    更新日期:2019-07-01 00:00:00

  • Echocardiographic Predictors of Long-Term Survival in Patients Undergoing Cardiac Resynchronization Therapy: What Is the Optimal Metric?

    abstract:BACKGROUND:Multiple definitions of reverse ventricular remodeling (RVR) employing various changes in left ventricular end-systolic (LVESV) or diastolic volumes (LVEDVs) or left ventricular ejection fraction (LVEF) have been used in determining cardiac resynchronization therapy (CRT) response, making comparability acros...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13175

    authors: Rickard J,Baranowski B,Wilson Tang WH,Grimm RA,Niebauer M,Cantillion D,Wilkoff BL,Varma N

    更新日期:2017-04-01 00:00:00

  • Role of virtual electrodes in arrhythmogenesis: pinwheel experiment revisited.

    abstract:INTRODUCTION:Recent experimental evidence demonstrates that a point stimulus generates a nonuniform distribution of transmembrane potential (virtual electrode pattern) consisting of large adjacent areas of depolarization and hyperpolarization. This simulation study focuses on the role of virtual electrodes in reentry i...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2000.tb01796.x

    authors: Lindblom AE,Roth BJ,Trayanova NA

    更新日期:2000-03-01 00:00:00

  • Comparison of atrial arrhythmia recurrence after persistent atrial fibrillation ablation between patients with or without tachycardia-induced cardiomyopathy.

    abstract:BACKGROUND:The presence of heart failure (HF) has been associated with poorer outcomes in patients undergoing catheter ablation (CA) for atrial fibrillation (AF). However, the effectiveness of CA amongst the subset of patients with tachycardia-induced cardiomyopathy (TIC) remains poorly defined. METHODS AND RESULTS:In...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14144

    authors: Yamashita S,Tokuda M,Matsuo S,Mahida S,Hachisuka EO,Sato H,Ikewaki H,Oseto H,Yokoyama M,Isogai R,Tokutake K,Yokoyama K,Narui R,Kato M,Tanigawa S,Sugimoto K,Yoshimura M,Yamane T

    更新日期:2019-11-01 00:00:00

  • Irregular sinus parasystole due to intermittency and modulation of parasystolic activity.

    abstract::A case of intermittent sinus parasystole in which the parasystolic focus is protected from the dominant sinus rhythm only during the second half of its intrinsic cycle is reported. In addition, a modulating (i.e., electronic) effect is often clearly exerted from the dominant rhythm upon the focus during the protected ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1996.tb00523.x

    authors: Satullo G,Donato A,Busá G,Cavallaro L

    更新日期:1996-03-01 00:00:00

  • Serial defibrillation lead impedance in patients with epicardial and nonthoracotomy lead systems.

    abstract:INTRODUCTION:The stability of implantable cardiac defibrillation lead impedance subsequent to implantation has not been reported and may have important clinical implications. The objective was to characterize the incidence and degree of impedance changes occurring after implantation of defibrillation lead systems. MET...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1996.tb00577.x

    authors: Schwartzman D,Hull ML,Callans DJ,Gottlieb CD,Marchlinski FE

    更新日期:1996-08-01 00:00:00

  • Issues in subgroup analyses and meta-analyses of clinical trials.

    abstract::This commentary discusses two techniques commonly used to analyze clinical trials: subgroup analysis and meta-analysis. Subgroup analysis is used to evaluate the consistency of a treatment across multiple groups, usually within a clinical trial. Subgroup analysis often is used to generate or test an hypothesis about r...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.14.s9.1.x

    authors: Bigger JT

    更新日期:2003-09-01 00:00:00

  • Electrophysiological characteristics of the earliest activation site in idiopathic right ventricular outflow tract arrhythmias under mini-electrode mapping.

    abstract:INTRODUCTION:Right ventricular outflow tract ventricular arrhythmias (RVOT VAs) often originate in the voltage-transitional zone. The target electrogram could be compromised by the architecture of the roving catheter. Mini-electrodes could improve the mapping resolution, especially in low-voltage areas. The aim was to ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13856

    authors: Liu M,Jiang J,Su C,Li J,Chen X,Ma Y,Feng C,Liu J,Dong Y,Tang A,He J,Wang L

    更新日期:2019-05-01 00:00:00

  • Electrical activation of sinus venosus myocardium and expression patterns of RhoA and Isl-1 in the chick embryo.

    abstract:UNLABELLED:Electrical Activity and RhoA in the Embryo. INTRODUCTION:Myocardium at the venous pole (sinus venosus) of the heart has gained clinical interest as arrhythmias can be initiated from this area. During development, sinus venosus myocardium is incorporated to the primary heart tube and expresses different mark...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2010.01790.x

    authors: Vicente-Steijn R,Kolditz DP,Mahtab EA,Askar SF,Bax NA,VAN DER Graaf LM,Wisse LJ,Passier R,Pijnappels DA,Schalij MJ,Poelmann RE,Gittenberger-DE Groot AC,Jongbloed MR

    更新日期:2010-11-01 00:00:00

  • Radiofrequency catheter ablation of left ventricular outflow tract tachycardia from the coronary cusp: a new approach to the tachycardia focus.

    abstract:INTRODUCTION:Idiopathic ventricular tachycardia (VT) originating from the left ventricular outflow tract (LVOT) is rare. Previously reported were two cases of LVOT tachycardia which were treated with radiofrequency (RF) catheter ablation through endocardial aortomitral continuity. We report here a case of a repetitive ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1999.tb01271.x

    authors: Shimoike E,Ohnishi Y,Ueda N,Maruyama T,Kaji Y

    更新日期:1999-07-01 00:00:00

  • Incidence of ablation-induced esophageal injury associated with high-power short duration temperature-controlled pulmonary vein isolation using a specialized open-irrigated ablation catheter: A retrospective single-center study.

    abstract:INTRODUCTION:To evaluate short-term efficacy and incidence of ablation-induced endoscopically detected esophageal injury in patients undergoing high-power, short-duration (HPSD) pulmonary vein isolation using a novel irrigated radiofrequency ablation catheter and ablation generator setup. METHODS AND RESULTS:Atrial fi...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14883

    authors: Piringer R,Deneke T,Foldyna B,Sonne K,Nentwich K,Ene E,Barth S,Lüsebrink U,Berkovitz A,Halbfass P

    更新日期:2021-01-13 00:00:00

  • Combined amiodarone and silymarin treatment, but not amiodarone alone, prevents sustained atrial flutter in dogs.

    abstract:UNLABELLED:Amiodarone/Silymarin Treatment for Sustained Atrial Flutter. INTRODUCTION:Because amiodarone generates free radicals that may mediate amiodarone's toxicity, simultaneous therapy with an antioxidant might be beneficial if the antioxidant did not impair amiodarone's antiarrhythmic action. We tested whether si...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2003.02446.x

    authors: Vereckei A,Zipes DP,Besch H Jr

    更新日期:2003-08-01 00:00:00

  • Electrophysiologic effects of the new class III antiarrhythmic drug dofetilide compared to the class IA antiarrhythmic drug quinidine in experimental canine atrial flutter: role of dispersion of refractoriness in antiarrhythmic efficacy.

    abstract:INTRODUCTION:Previous studies suggest that class III antiarrhythmic drugs are more effective in reentrant arrhythmias because they prolong refractoriness (ERP) and wavelength and reduce dispersion of refractoriness compared to Class IA antiarrhythmic drugs, which slow conduction velocity (CV) in addition to their effec...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1996.tb00594.x

    authors: Cha Y,Wales A,Wolf P,Shahrokni S,Sawhney N,Feld GK

    更新日期:1996-09-01 00:00:00

  • Iterative atrial tachycardia originating from the coronary sinus musculature.

    abstract::A case of iterative atrial tachycardia leading to dilated cardiomyopathy is reported. During electrophysiologic study, the tachycardia showed a markedly irregular cycle length associated with changes in atrial activation breakthrough as demonstrated by coronary sinus (CS) recordings and frequently degenerated into sel...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2001.01187.x

    authors: Tritto M,Zardini M,De Ponti R,Salerno-Uriarte JA

    更新日期:2001-10-01 00:00:00

  • Outcome of non-vitamin K oral anticoagulants in the treatment of left atrial/left atrial appendage thrombus in patients with nonvalvular atrial fibrillation.

    abstract:BACKGROUND:Data comparing dabigatran with rivaroxaban regarding the resolution of left atrial/left atrial appendage (LA/LAA) thrombus in patients with nonvalvular atrial fibrillation (AF) are scarce. This study aimed to compare the efficacy and safety of dabigatran vs rivaroxaban regarding the resolution of LA/LAA thro...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14365

    authors: Lin C,Quan J,Bao Y,Hua W,Ke M,Zhang N,Jin Q,Xie Y,Wei Y,Ling T,Pan W,Wu L,Xie Y

    更新日期:2020-03-01 00:00:00

  • Continuous rhythm monitoring-guided anticoagulation after atrial fibrillation ablation.

    abstract:INTRODUCTION:Oral anticoagulation (OAC) based on estimated stroke risk is recommended following catheter ablation (CA) of atrial fibrillation (AF), regardless of the extent of arrhythmia control. However, discontinuing OAC in selected patients may be safe. We sought to evaluate a strategy of OAC discontinuation followi...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14864

    authors: Pothineni NVK,Amankwah N,Santangeli P,Schaller RD,Supple GE,Deo R,Nazarian S,Garcia FC,Dixit S,Callans DJ,Marchlinski FE,Frankel DS

    更新日期:2020-12-31 00:00:00

  • Physical, cognitive, and psychosocial conditions in relation to anticoagulation satisfaction among elderly adults with atrial fibrillation: The SAGE-AF study.

    abstract:BACKGROUND:Successful anticoagulation is critical for stroke prevention in adults with atrial fibrillation (AF). Anticoagulation satisfaction is a key indicator of treatment success. While physical, cognitive, and psychosocial limitations are common in elderly AF patients, their associations with anticoagulation satisf...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jce.14176

    authors: Wang W,Saczynski J,Lessard D,Mailhot T,Barton B,Waring ME,Sogade F,Hayward R,Helm R,McManus DD

    更新日期:2019-11-01 00:00:00

  • On the use of CartoSound for left atrial navigation.

    abstract:INTRODUCTION:The utility of "virtual" imaging systems for left atrial (LA) navigation has been hampered by inadequate spatial detail, as well as inaccurate integration of more detailed preoperative images, such as those generated by computed tomography (CT). CartoSound is an intracardiac echocardiography (ICE)-based te...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2009.01672.x

    authors: Schwartzman D,Zhong H

    更新日期:2010-06-01 00:00:00

  • Clinical significance of complete conduction block of the left lateral isthmus and its relationship with anatomical variation of the vein of Marshall in patients with nonparoxysmal atrial fibrillation.

    abstract:BACKGROUND:The vein of Marshall (VOM), which exists along the left lateral isthmus (LLI), constitutes a muscular connection between the coronary sinus (CS) and the left atrium (LA). We hypothesized that anatomical variation of the VOM affects the bidirectional block of LLI and the clinical outcome in patients with nonp...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2008.01408.x

    authors: Choi JI,Pak HN,Park JH,Choi EJ,Kim SK,Kwak JJ,Jang JK,Hwang C,Kim YH

    更新日期:2009-06-01 00:00:00

  • Beating Heart Validation of Safety and Efficacy of a Percutaneous Pericardiotomy Tool.

    abstract:INTRODUCTION:Epicardial procedures frequently require pericardial manipulation. We aimed to develop a nonsurgical percutaneous pericardial modification tool that may (1) facilitate epicardial-based procedures by enabling adhesiolysis or (2) attenuate the myocardial constraining effect of the pericardium. METHODS:Three...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13108

    authors: Killu AM,Naksuk N,Desimone CV,Gaba P,Suddendorf S,Powers J,Ladewig DJ,Lerman LO,Borlaug BA,Asirvatham SJ

    更新日期:2017-03-01 00:00:00

  • Efficacy of a Bio-Absorbable Antibacterial Envelope to Prevent Cardiac Implantable Electronic Device Infections in High-Risk Subjects.

    abstract:INTRODUCTION:Cardiac implantable electronic device (CIED) infections are potentially preventable complications associated with high morbidity, mortality, and cost. A recently developed bio-absorbable antibacterial envelope (TYRX™-A) might prevent CIED infections in high-risk subjects. However, data regarding safety and...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12768

    authors: Kolek MJ,Patel NJ,Clair WK,Whalen SP,Rottman JN,Kanagasundram A,Shen ST,Saavedra PJ,Estrada JC,Abraham RL,Ellis CR

    更新日期:2015-10-01 00:00:00

  • Clinical efficacy of open-irrigated electrode cooled with half-normal saline for initially failed radiofrequency ablation of idiopathic outflow tract ventricular arrhythmias.

    abstract:BACKGROUND:Acute failure of radiofrequency ablation (RFA) of ventricular arrhythmias (VAs) occur in 10%-20% of patients and is partly attributed to inadequate lesion depth acquired with standard ablation protocols. Half-normal saline (HNS)-irrigation is a promising strategy to improve the success rate of VA ablation. ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14057

    authors: Chung FP,Vicera JJB,Lin YJ,Chang SL,Lo LW,Hu YF,Lin CY,Tuan TC,Chao TF,Liao JN,Chang TY,Salim S,Liu CM,Chuang CM,Chen CC,Chin CG,Wu CI,Chou CY,Chen SA

    更新日期:2019-09-01 00:00:00

  • Real-world data on the lifespan of implantable cardioverter-defibrillators depending on manufacturers and the amount of ventricular pacing.

    abstract:INTRODUCTION:Implantable cardioverter-defibrillator (ICD) longevity is crucial for both patients and public health systems because it determines the number of surgical ICD replacements, which can generally be considered an additional risk factor for complications, and the cost-effectiveness of ICD therapy. Our objectiv...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2012.02408.x

    authors: Horlbeck FW,Mellert F,Kreuz J,Nickenig G,Schwab JO

    更新日期:2012-12-01 00:00:00