icd discrimination of svt versus vt with 1:1 v-a conduction: a review of the literature
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2015
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Abstract
Inappropriate ICD shocks are associated with increased mortality. They also impair patients' quality of life, increase hospitalizations, and raise health-care costs. Nearly 80% of inappropriate ICD shocks are caused by supraventricular tachycardia. Here we report the case of a patient who received a single-lead dual-chamber sensing ICD for primary prevention of sudden cardiac death and experienced inappropriate ICD shocks. V-A time, electrogram morphology, and response to antitachycardia pacing suggested atrioventricular nodal reentry tachycardia, which was confirmed in an electrophysiology study. Inspired by this case, we performed a literature review to discuss mechanisms for discrimination of supraventricular tachycardia with 1:1 A:V relationship from ventricular tachycardia with 1:1 retrograde conduction.
| Reference Key |
cardoso2015indianicd
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|---|---|
| Authors | ;Rhanderson N. Cardoso;Chris Healy;Juan Viles-Gonzalez;James O. Coffey |
| Journal | Medical decision making : an international journal of the Society for Medical Decision Making |
| Year | 2015 |
| DOI |
10.1016/j.ipej.2016.02.006
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| URL | |
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