Measurement of cardioversion/defibrillation thresholds in man by a truncated exponential waveform and an apical patch-superior vena caval spring electrode configuration.

Abstract:

:Defibrillation/cardioversion thresholds were measured in 33 patients undergoing defibrillator implants. Each patient had a 12 cm2 patch placed near the left ventricular apex via a thoracotomy and a 10 cm2 spring lead placed pervenously at the right atrial-superior vena caval junction. Ventricular tachycardia of stable morphology, polymorphic ventricular tachycardia, or ventricular fibrillation was induced four times in each patient and 1, 5, 10, and 25 J truncated exponential shocks with 60% tilt were given in a random sequence. The conversion rate was constant (77%, 86%, 87%, 85%) with increasing energy for ventricular tachycardia but progressively increased for polymorphic ventricular tachycardia and ventricular fibrillation (8%, 33%, 58%, 92%). The ventricular tachycardia acceleration rates for 1, 5, 10, and 25 J were 23%, 14%, 10%, and 15%. Patients not reliably converted with 25 J may require repositioning of leads or two patches. We conclude that for the spring-patch electrodes, increasing energy from 1 to 25 J improves the conversion rate for polymorphic ventricular tachycardia and ventricular fibrillation; the ventricular tachycardia conversion rate is constant. Acceleration of ventricular tachycardia occurs at all energies. Defibrillator implantation requires extensive intraoperative electrophysiologic testing to ensure safe and reliable termination of ventricular tachycardia and fibrillation.

journal_name

Circulation

journal_title

Circulation

authors

Winkle RA,Stinson EB,Bach SM Jr,Echt DS,Oyer P,Armstrong K

doi

10.1161/01.cir.69.4.766

subject

Has Abstract

pub_date

1984-04-01 00:00:00

pages

766-71

issue

4

eissn

0009-7322

issn

1524-4539

journal_volume

69

pub_type

临床试验,杂志文章,随机对照试验
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    doi:10.1161/01.cir.78.2.338

    authors: Prince MR,LaMuraglia GM,MacNichol EF Jr

    更新日期:1988-08-01 00:00:00

  • Study Comparing Vein Integrity and Clinical Outcomes in Open Vein Harvesting and 2 Types of Endoscopic Vein Harvesting for Coronary Artery Bypass Grafting: The VICO Randomized Clinical Trial (Vein Integrity and Clinical Outcomes).

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    authors: Krishnamoorthy B,Critchley WR,Thompson AJ,Payne K,Morris J,Venkateswaran RV,Caress AL,Fildes JE,Yonan N

    更新日期:2017-10-31 00:00:00

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    更新日期:2006-05-23 00:00:00

  • Phenotypic variability and unusual clinical severity of congenital long-QT syndrome in a founder population.

    abstract:BACKGROUND:In the congenital long-QT syndrome (LQTS), there can be a marked phenotypic heterogeneity. Founder effects, by which many individuals share a mutation identical by descent, represent a powerful tool to further understand the underlying mechanisms and to predict the natural history of mutation-associated effe...

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    更新日期:2005-10-25 00:00:00

  • Dietary alpha-lipoic acid supplementation inhibits atherosclerotic lesion development in apolipoprotein E-deficient and apolipoprotein E/low-density lipoprotein receptor-deficient mice.

    abstract:BACKGROUND:Vascular inflammation and lipid deposition are prominent features of atherosclerotic lesion formation. We have shown previously that the dithiol compound alpha-lipoic acid (LA) exerts antiinflammatory effects by inhibiting tumor necrosis factor-alpha- and lipopolysaccharide-induced endothelial and monocyte a...

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    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.725275

    authors: Zhang WJ,Bird KE,McMillen TS,LeBoeuf RC,Hagen TM,Frei B

    更新日期:2008-01-22 00:00:00

  • Incidence, Microbiology, and Outcomes in Patients Hospitalized With Infective Endocarditis.

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    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.044913

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    更新日期:2020-06-23 00:00:00

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    pub_type: 杂志文章

    doi:

    authors: Ferrans VJ,Spray TL,Billingham ME,Roberts WC

    更新日期:1978-09-01 00:00:00

  • A quarter century of drug treatment of dyslipoproteinemia, with a focus on the new HMG-CoA reductase inhibitor fluvastatin.

    abstract::Disorders associated with the overproduction or delayed clearance of beta-very low density lipoprotein and low density lipoprotein (LDL) are strikingly related to premature coronary artery disease. There are five recognized classes of LDL-lowering drugs, each acting through different basic mechanisms. The increased pr...

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    pub_type: 杂志文章,评审

    doi:

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    更新日期:1993-04-01 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.105.583195

    authors: Raitakari OT,Rönnemaa T,Järvisalo MJ,Kaitosaari T,Volanen I,Kallio K,Lagström H,Jokinen E,Niinikoski H,Viikari JS,Simell O

    更新日期:2005-12-13 00:00:00

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    pub_type: 杂志文章

    doi:10.1161/01.cir.73.4.758

    authors: Freedom RM,Benson LN,Smallhorn JF,Williams WG,Trusler GA,Rowe RD

    更新日期:1986-04-01 00:00:00

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    pub_type: 杂志文章

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    authors: Katz SD,Khan T,Zeballos GA,Mathew L,Potharlanka P,Knecht M,Whelan J

    更新日期:1999-04-27 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章

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    authors: Wilson EM,Moainie SL,Baskin JM,Lowry AS,Deschamps AM,Mukherjee R,Guy TS,St John-Sutton MG,Gorman JH 3rd,Edmunds LH Jr,Gorman RC,Spinale FG

    更新日期:2003-06-10 00:00:00

  • Role for substance p-based nociceptive signaling in progenitor cell activation and angiogenesis during ischemia in mice and in human subjects.

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    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.089763

    authors: Amadesi S,Reni C,Katare R,Meloni M,Oikawa A,Beltrami AP,Avolio E,Cesselli D,Fortunato O,Spinetti G,Ascione R,Cangiano E,Valgimigli M,Hunt SP,Emanueli C,Madeddu P

    更新日期:2012-04-10 00:00:00

  • Differential effects of a segment of slow conduction on reentrant ventricular tachycardia in the rabbit heart.

    abstract:BACKGROUND:The purpose of this study was to compare differential effects of a segment of slow conduction during ventricular tachycardia (VT) due to depression of the action potential and electrical uncoupling. METHODS AND RESULTS:In 33 Langendorff-perfused rabbit hearts, a ring of anisotropic left ventricular subepica...

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    pub_type: 杂志文章

    doi:10.1161/01.cir.99.7.949

    authors: Haberl K,Allessie M

    更新日期:1999-02-23 00:00:00

  • Troglitazone inhibits voltage-dependent calcium currents in guinea pig cardiac myocytes.

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    pub_type: 杂志文章

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    authors: Nakajima T,Iwasawa K,Oonuma H,Imuta H,Hazama H,Asano M,Morita T,Nakamura F,Suzuki J,Suzuki S,Kawakami Y,Omata M,Okuda Y

    更新日期:1999-06-08 00:00:00

  • Lifetime fruit and vegetable consumption and arterial pulse wave velocity in adulthood: the Cardiovascular Risk in Young Finns Study.

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    pub_type: 杂志文章,随机对照试验

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    更新日期:2010-12-14 00:00:00

  • Ablation Versus Amiodarone for Treatment of Persistent Atrial Fibrillation in Patients With Congestive Heart Failure and an Implanted Device: Results From the AATAC Multicenter Randomized Trial.

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    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

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    authors: Di Biase L,Mohanty P,Mohanty S,Santangeli P,Trivedi C,Lakkireddy D,Reddy M,Jais P,Themistoclakis S,Dello Russo A,Casella M,Pelargonio G,Narducci ML,Schweikert R,Neuzil P,Sanchez J,Horton R,Beheiry S,Hongo R,Hao S,

    更新日期:2016-04-26 00:00:00

  • Does Previous Transradial Catheterization Preclude Use of the Radial Artery as a Conduit in Coronary Artery Bypass Surgery?

    abstract::The radial artery (RA) is a commonly used conduit for coronary artery bypass grafting, and recent studies have demonstrated that it provides superior long-term patency rates to the saphenous vein in most situations. In addition, the RA is also being used with increasing frequency as the access point for coronary angio...

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    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.116.022992

    authors: Mounsey CA,Mawhinney JA,Werner RS,Taggart DP

    更新日期:2016-08-30 00:00:00

  • Genesis of high frequency notching of QRS complexes in an in vivo cardiac model.

    abstract::High frequency notching of the QRS complex is associated with transmural infarction, cardiomyopathies, and ventricular hypertrophy from any cause. The mechanism producing notching is unknown; but the presence of a discrete anatomic lesion is not an essential feature. The hypothesis that notching was produced by activa...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.51.2.257

    authors: Vanderark CR,Reynolds EW

    更新日期:1975-02-01 00:00:00

  • Borderline hypertension and obesity: two prehypertensive states with elevated cardiac output.

    abstract::Systemic, renal and splanchnic hemodynamics, intravascular volume, circulating catecholamine levels and plasma renin activity were compared in 39 patients with borderline hypertension and 28 normotensive subjects, who were less than 5% (n = 42, lean patients) or more than 40% overweight (n = 25, obese patients). Lean ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.66.1.55

    authors: Messerli FH,Ventura HO,Reisin E,Dreslinski GR,Dunn FG,MacPhee AA,Frohlich ED

    更新日期:1982-07-01 00:00:00

  • Angiotensin II induces leukocyte-endothelial cell interactions in vivo via AT(1) and AT(2) receptor-mediated P-selectin upregulation.

    abstract:BACKGROUND:Angiotensin II (Ang II) plays a critical role in the development of vascular lesions in hypertension, atherosclerosis, and several renal diseases. Because Ang II may contribute to the leukocyte recruitment associated with these pathological states, the aim of the present study was to assess the role of Ang I...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.17.2118

    authors: Piqueras L,Kubes P,Alvarez A,O'Connor E,Issekutz AC,Esplugues JV,Sanz MJ

    更新日期:2000-10-24 00:00:00

  • Cardiac Amyloidosis: Evolving Diagnosis and Management: A Scientific Statement From the American Heart Association.

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIR.0000000000000792

    authors: Kittleson MM,Maurer MS,Ambardekar AV,Bullock-Palmer RP,Chang PP,Eisen HJ,Nair AP,Nativi-Nicolau J,Ruberg FL,American Heart Association Heart Failure and Transplantation Committee of the Council on Clinical Cardiology.

    更新日期:2020-07-07 00:00:00

  • The influence of surgery on the natural history of angiographically documented left ventricular aneurysm: the Coronary Artery Surgery Study.

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    pub_type: 杂志文章

    doi:10.1161/01.cir.74.1.110

    authors: Faxon DP,Myers WO,McCabe CH,Davis KB,Schaff HV,Wilson JW,Ryan TJ

    更新日期:1986-07-01 00:00:00

  • Effects of ramipril on plasma fibrinolytic balance in patients with acute anterior myocardial infarction. HEART Study Investigators.

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    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.96.2.442

    authors: Vaughan DE,Rouleau JL,Ridker PM,Arnold JM,Menapace FJ,Pfeffer MA

    更新日期:1997-07-15 00:00:00

  • Active and passive tobacco exposure: a serious pediatric health problem. A statement from the Committee on Atherosclerosis and Hypertension in Children, Council on Cardiovascular Disease in the Young, American Heart Association.

    abstract::This review defines the substantial pediatric morbidity from tobacco use, including health effects on the cardiovascular system, the respiratory system, the fetus and newborn, and risk-taking behaviors of adolescents. More recent research suggests effects may extend to other areas, including reports that cigarette smo...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.90.5.2581

    authors:

    更新日期:1994-11-01 00:00:00

  • Combining High-Sensitivity Cardiac Troponin I and Cardiac Troponin T in the Early Diagnosis of Acute Myocardial Infarction.

    abstract:BACKGROUND:Combining 2 signals of cardiomyocyte injury, cardiac troponin I (cTnI) and T (cTnT), might overcome some individual pathophysiological and analytical limitations and thereby increase diagnostic accuracy for acute myocardial infarction with a single blood draw. We aimed to evaluate the diagnostic performance ...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.117.032003

    authors: van der Linden N,Wildi K,Twerenbold R,Pickering JW,Than M,Cullen L,Greenslade J,Parsonage W,Nestelberger T,Boeddinghaus J,Badertscher P,Rubini Giménez M,Klinkenberg LJJ,Bekers O,Schöni A,Keller DI,Sabti Z,Puelacher C,

    更新日期:2018-09-04 00:00:00

  • Retrograde coronary artery flow in aortic valve disease.

    abstract::Retrograde coronary artery flow was observed angiographically in 43 patients with aortic stenosis and/or regurgitation. In the 24 patients with pure or predominant aortic stenosis, retrograde flow was seen in all 24 during end-systole. In the eight patients with pure aortic regurgitation, retrograde flow was seen main...

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    pub_type: 杂志文章

    doi:10.1161/01.cir.54.3.494

    authors: Carroll RJ,Falsetti HL

    更新日期:1976-09-01 00:00:00

  • Effects of dopamine beta-hydroxylase inhibition with nepicastat on the progression of left ventricular dysfunction and remodeling in dogs with chronic heart failure.

    abstract:BACKGROUND:Inhibition of dopamine beta-hydroxylase (DBH) results in a decrease in norepinephrine synthesis. The present study was a randomized, blinded, placebo-controlled investigation of the long-term effects of therapy with the DBH inhibitor nepicastat (NCT) on the progression of left ventricular (LV) dysfunction an...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.16.1990

    authors: Sabbah HN,Stanley WC,Sharov VG,Mishima T,Tanimura M,Benedict CR,Hegde S,Goldstein S

    更新日期:2000-10-17 00:00:00

  • Endothelial cell activation by pore-forming structures: pivotal role for interleukin-1alpha.

    abstract:BACKGROUND:Interaction of complement with endothelial cells (ECs) underlies the development of inflammation and coagulation in disease. Assembly of the membrane attack complex (MAC) of complement on EC membrane, like stimulation with cytokines, upregulates tissue factor and cyclooxygenase-2 but does so via the intermed...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.15.1867

    authors: Saadi S,Holzknecht RA,Patte CP,Platt JL

    更新日期:2000-04-18 00:00:00