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Implantable Cardioverter Defibrillator

DEVICE COMPARISON, 14 October 2009
doi: 10.5083/ejcm.20424884.03 , Cite or Link Using DOI
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Carmen Gómez-Rubín, MD, Rocío Cózar, MD, Rafael Peinado, MD, PhD, FESC

Implantable Cardioverter Defibrillator (ICD) therapy has demonstrated its effectiveness and safety in terminating ventricular tachyarrythmias. The broadening of indications in guidelines has involved a greater number of candidates and incremental costs. Although quality of life did not have to worsen after implantation, shock deliveries, especially if multiple, may deteriorate it. Current ICD offer several tools like ATP and discrimination criteria that enable them to reduce the number of discharges. Home monitoring and the ICD alert systems can improve the follow-up of these patients.

Correspondence to:
Rafael Peinado, MD, PhD, FESC, Arrhythmia Unit, Hospital Universitario La Paz, Paseo de la Castellana 261. Planta 1, 28046 Madrid. Spain rpeinado@secardiologia.es

Keywords:

implantable cardioverter defibrillator, ventricular tachyarrythmias, antitachycardia pacing home monitoring