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Title of Journal: J Interv Card Electrophysiol

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Abbravation: Journal of Interventional Cardiac Electrophysiology

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Springer US

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DOI

10.1007/s003920070153

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ISSN

1572-8595

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Clinical criteria for predicting benefit of ICD/PM

Authors: Alfred P Hallstrom D George Wyse John McAnulty for the CAST and AVID Investigators
Publish Date: 2008/09/23
Volume: 23, Issue: 3, Pages: 159-166
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Abstract

Three clinical factors from the Antiarrhythmics Versus Implantable Defibrillators AVID trial—heart failure left ventricular dysfunction and certain historical features defined a subgroup in which an implantable cardioverter defibrillator ICD/PM has a mortality advantage over amiodaroneSimilar predictive power was noted in AVID patients with IHD In CAST the factors defined three groups one group 58 corresponding to AVID patients that had high risk and benefited from an ICD/PM and another group 172 corresponding to patients in AVID where the risk was moderate and ICD/PM and amiodarone had equal efficacy demonstrated a twofold higher risk of sudden arrhythmic than nonarrhythmic death and hence would be expected to benefit from antiarrhythmia therapy The third group corresponding to AVID patients with low risk of arrhythmia demonstrated similar and low risks of sudden arrhythmic and nonarrhythmic death Thus this group 77 is unlikely to benefit from indiscriminate antiarrhythmia therapy Onset of risk of death in CAST patients was offset from randomization by 3 to 6 monthsReadily available clinical criteria identify a small group likely to benefit from an ICD/PM after recent myocardial infarction MI and the remainder unlikely to benefit from nonselective ICD/PM therapy Additional risk stratification should focus on the latter patients and be timed to allow ICD/PM implantation between 2 and 6 months after MI


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Other Papers In This Journal:

  1. Adenosine triphosphate-induced atrial fibrillation: the clinical significance and relevance to spontaneous atrial fibrillation
  2. Trends in percutaneous pericardial access during catheter ablation of ventricular arrhythmias: a single-center experience
  3. Comparison between pulsed and continuous radiofrequency delivery
  4. Factors associated with fluoroscopy exposure during pediatric catheter ablation utilizing electroanatomical mapping
  5. Electrophysiologic characteristics of atrial tachycardia originating from the superior vena cava
  6. Clinical evaluation of a new technique to monitor return electrode skin temperature during radiofrequency ablation
  7. Arrhythmia phenotype in mouse models of human long QT
  8. Contact force and impedance decrease during ablation depends on catheter location and orientation: insights from pulmonary vein isolation using a contact force-sensing catheter
  9. Long-term monitoring of respiratory rate in patients with heart failure: the Multiparametric Heart Failure Evaluation in Implantable Cardioverter-Defibrillator Patients (MULTITUDE-HF) study
  10. Association between red blood cell distribution width and response to cardiac resynchronization therapy
  11. Modification of atrioventricular conduction in dogs by laser irradiation of Koch’s triangle guided by balloon-tipped cardioscope
  12. Novel SCN5A mutations in two families with “Brugada-like” ST elevation in the inferior leads and conduction disturbances
  13. Characteristics and distribution of complex fractionated atrial electrograms in patients with paroxysmal and persistent atrial fibrillation
  14. Predictors of serious arrhythmic events in patients with nonischemic heart failure
  15. Ablation time efficiency and lesion volume - in vitro comparison of 4 mm, non irrigated, gold- and platinum-iridium-tip radiofrequency ablation catheters
  16. Late thromboembolic events after circumferential pulmonary vein ablation of atrial fibrillation
  17. Fluoroless catheter ablation in adults: a single center experience
  18. Patient care and physician conflicts of interests: the Hydra grows new heads but is any Hercules in sight?
  19. Cardiac calcified amorphous tumor in a patient presenting for ventricular tachycardia ablation: intracardiac echocardiogram diagnosis and management
  20. Atrial fibrillation ablation in patients with gastroesophageal reflux disease or irritable bowel syndrome—the heart to gut connection!
  21. Clinical outcome of left atrial ablation for paroxysmal atrial fibrillation is related to the extent of radiofrequency ablation
  22. Predictors of chronic pulmonary vein reconnections after contact force-guided ablation: importance of completing electrical isolation with circumferential lines and creating sufficient ablation lesion densities
  23. Left atrial posterior wall isolation: the icing on the cake
  24. Catheter ablation of arrhythmic storm triggered by monomorphic ectopic beats in patients with coronary artery disease
  25. Verapamil-sensitive left anterior fascicular ventricular tachycardia associated with a healed myocardial infarction: changes in the delayed Purkinje potential during sinus rhythm

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