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The automatic implantable cardioverter-defibrillator in young patients.

Abstract：

:An international survey identified 40 patients less than 20 years old who underwent surgical implantation of an automatic implantable cardioverter-defibrillator (AICD). There was a history of aborted sudden cardiac death or sustained ventricular tachycardia in 92.5% of these patients. Twenty-two patients (55%) had structural heart disease; dilated and hypertrophic cardiomyopathy were the most common diagnoses. Eighteen patients (45%) had primary electrical abnormalities including seven with the congenital long QT syndrome. There were no perioperative deaths associated with device implantation. Concomitant drug therapy was administered to 75% of the patients. Defibrillator discharge occurred in 70% of the patients, with 17 patients (42.5%) receiving at least one appropriate shock. There were two sudden and two nonsudden deaths at 28.2 months' median follow-up. Sudden death-free survival rates by life table analysis at 12 and 33 months were 0.94 and 0.88, respectively. Total survival rates at 12 and 33 months were 0.94 and 0.82, respectively. The AICD represents an effective treatment approach for young patients with life-threatening ventricular tachyarrhythmias.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Kron J,Oliver RP,Norsted S,Silka MJ

doi

10.1016/s0735-1097(10)80338-9

subject

Has Abstract

pub_date

1990-10-01 00:00:00

pages

896-902

issue

4

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(10)80338-9

journal_volume

16

pub_type

杂志文章

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