Clinical Performance of the Implantable Cardioverter‐Defibrillator

Le cardioverter‐défibrillateur automatique implantable a été implanté chez 276 patients porteurs de tachycardies malignes tenaces avec une survie jusqu’è 50 mois (moyenne = 9.75 mois). Les results de cet appareil sont encourageants. Les risques et les complications associées sont acceptables et ressemblent è ceux des pacemakers. L'accélération des tachycardies ventriculaires ou l'induction de fibrillation ventriculaire sont traitées par le recyclage de l'appareil. Le défibrillateur a réduit la mortalité de ces patients è 2% durant la première année.

[1]  P E Oyer,et al.  The automatic implantable defibrillator: local ventricular bipolar sensing to detect ventricular tachycardia and fibrillation. , 1983, The American journal of cardiology.

[2]  S. Bach,et al.  Measurement of cardioversion/defibrillation thresholds in man by a truncated exponential waveform and an apical patch-superior vena caval spring electrode configuration. , 1984, Circulation.

[3]  R. Fogoros.  Amiodarone-induced refractoriness to cardioversion. , 1984, Annals of internal medicine.

[4]  V L Gott,et al.  Termination of malignant ventricular arrhythmias with an implanted automatic defibrillator in human beings. , 1980, The New England journal of medicine.

[5]  P. R. Reid,et al.  Pathophysiology of Ventricular Tachyarrhythmias Amenable to Electric Control , 1984, Pacing and clinical electrophysiology : PACE.

[6]  L. Griffith,et al.  Implantable Cardioverter‐Defibrillator: Patient Selection and Implantation Protocol , 1984, Pacing and clinical electrophysiology : PACE.

[7]  R. Winkle,et al.  Mortality in patients with implanted automatic defibrillators. , 1983, Annals of internal medicine.

[8]  M. Weisfeldt,et al.  Clinical treatment of life-threatening ventricular tachyarrhythmias with the automatic implantable defibrillator. , 1981, American heart journal.

[9]  P R Reid,et al.  Clinical evaluation of the internal automatic cardioverter-defibrillator in survivors of sudden cardiac death. , 1983, The American journal of cardiology.

[10]  L. Griffith,et al.  The treatment of malignant ventricular arrhythmias with combined endocardial resection and implantation of the automatic defibrillator: preliminary report. , 1984, The Annals of thoracic surgery.