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1. Spanish catheter ablation registry. 23rd official report of the Heart Rhythm Association of the Spanish Society of Cardiology (2023)

Author

Bazan, Victor, Arana, Eduardo, Rubio-Campal, José Manuel, Calvo, David, Álvarez Acosta, Luis, Hernández Afonso, Julio, Ramos Ardanaz, Pablo, Peñafiel Verdú, Pablo, Cano Calabria, Lucas R., Barrera Cordero, Alberto, Díaz Infante, Ernesto, Cózar León, Rocío, Lozano Granero, Vanesa Cristina, Martínez Sande, José Luis, Moya Mitjans, Àngel, Rodríguez Entem, Felipe, Salgado Aranda, Ricardo, Gil Ortega, Ignacio, Cabanas Grandío, Pilar, Alcalde Rodriguez, Óscar, García Fernández, Francisco Javier, Sarquella-Brugada, Georgia, Castro Urda, Víctor, Fidalgo Andrés, María Luisa, Durán Guerrero, J. Manuel, Mazuelos Bellido, Francisco, Rubio Caballero, Jose Amador, Pérez Roselló, Víctor, Cabrera Ramos, Mercedes, Rubio Campal, José Manuel, Porta Sánchez, Andreu, Hidalgo Olivares, Víctor M., Rubín López, José Manuel, Jiménez López, Jesús, Grande Morales, Carlos Eugenio, Fernández Gómez, Juan Manuel, Jiménez Candil, Javier, Moreno Garrido, Rafael, Moraleda Salas, María Teresa, Rodríguez Muñoz, Daniel, Vázquez Esmorís, Iván, Ibáñez Criado, José Luis, Ibáñez Criado, Alicia, Arcocha Torres, María Fe, Bastos Amador, Pablo, Elices Teja, Juliana, Pavón Jiménez, Ricardo, Álvarez López, Miguel, Martín Sánchez, Gabriel, Benezet Mazuecos, Juan, Gómez Pulido, Federico, Arce León, Alvaro, Quesada Dorador, Aurelio, Mendoza Lemes, Haridian, Herreros Guilarte, Benito, Osca Asensi, Joaquín, Datino Romaniega, Tomás, Sarrias, Axel, Ferrer Hita, Julio Jesús, Lozano Herrera, José Miguel, Ángel Arias, Miguel, Rivas Gandara, Nuria, Sánchez Borque, Pepa, García Cuenca, Enrique, Bochard Villanueva, Bruno, Alonso Fernández, Pau, Valverde André, Irene, Sandín Fuentes, María de Gracia, Pastor Fuentes, Agustín, Portales Fernández, Javier, Ruiz Hernández, Pablo M., Guasch Casany, Eduard, Pedrote, Alonso, Asso Abadía, Antonio, Guerra Ramos, Jose Maria, Anguera, Ignasi, Cantalapierda, Javier, Sainz Godoy, Íñigo, Domínguez Mafé, Eloy, Rodriguez Font, Enrique, Martí Almor, Julio, Moreno Arribas, José, Merino Llorens, José Luis, Bertomeu González, Vicente, Benito Martín, Eva María, Mosquera Pérez, Ignacio, Peláez González, Antonio, Jiménez Díaz, Francisco Javier, Saurí Ortiz, Assumpció, Luque Lezcano, Antonio Óscar, Segura Villalobos, Federico, Almendral Garrote, Jesús, Salvador Montañés, Óscar, González Ferrer, Juan José, Peinado Peinado, Rafael, Fabregat Andrés, Óscar, Arenal, Ángel, Moreno, Sara, and del Castillo, Álvaro Marco

Published
2024
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2. Spanish catheter ablation registry. 22nd official report of the Heart Rhythm Association of the Spanish Society of Cardiology (2022)

Author

Alcalde-Rodríguez, Óscar, Almendral-Garrote, Jesús, Alonso-Fernández, Pau, Álvarez-López, Miguel, Álvarez-Acosta, Luis, Anguera-Camos, Ignasi, Arce-León, Álvaro, Arenal, Ángel, Palomares, Miguel Ángel Arias, Arocha-Torres, María Fe, Asso-Abadía, Antonio, Barrera-Cordero, Alberto, Bastos-Amador, Pablo, Benezet-Mazuecos, Juan, Benito-Martínez, Eva María, Bochard-Villanueva, Bruno, Cabanas-Grandío, Pilar, Cabrera-Ramos, Mercedes, Cano-Calabria, Lucas R., del Castillo-Arrojo, Silvia, Cerveró, Alba, Datino-Romaniega, Tomás, Díaz-Infante, Ernesto, Domínguez-Mafé, Eloy, Durán-Guerrero, Juan Manuel, Teja, Juliana Elices, Emilce-Trucco, María, Espinosa-Viamonte, Hildemari, Fabregat-Andrés, Óscar, Fernández-Palacios, Gonzalo, Fernández-Lozano, Ignacio, Fernández-Gómez, Juan Manuel, Ferrer-Hita, Julio Jesús, Fidalgo-Andrés, María Luisa, García-Cuenca, Enrique, García-Rodríguez, Daniel, García-Fernández, Francisco Javier, Gil-Ortega, Ignacio, Gómez-Pulido, Federico, González-Ferrer, Juan José, Grande-Morales, Carlos Eugenio, Guasch-Casany, Eduard, Guerra-Ramos, José María, Herreros-Guilarte, Benito, Hidalgo-Olivares, Víctor Manuel, Ibáñez-Criado, Alicia, Ibáñez-Criado, José Luis, Jiménez-Díaz, Francisco Javier, Jiménez-López, Jesús, Jiménez-Candil, Javier, Lozano-Granero, Vanesa Cristina, Luque-Lezcano, Antonio Óscar, Martí-Almor, Julio, Martín-Sánchez, Gabriel, Martínez-Sande, José Luis, Martínez-Brotons, Ángel Miguel, Mazuelos-Bellido, Francisco, Mendoza-Lemes, Haridian, Menéndez-Ramírez, Diego, Merino-Llorens, José Luis, Moreno-Arribas, José, Moriña-Vázquez, Pablo, Mosquera-Pérez, Ignacio, Moya-Mitjans, Ángel, Osca-Asensi, Joaquín, Pastor-Fuentes, Agustín, Pavón-Jiménez, Ricardo, Pedrote-Martínez, Alonso, Peinado-Peinado, Rafael, Peláez-González, Antonio, Peñafiel-Verdú, Pablo, Pérez-Roselló, Víctor, Porta-Sánchez, Andreu, Portales-Fernández, Javier, Quesada-Dorador, Aurelio, Ramos-Ardanaz, Pablo, Rivas-Gándara, Nuria, Rodríguez-Entem, Felipe José, Rodríguez-Font, Enrique, Rodríguez-Muñoz, Daniel, Romero-Garrido, Rafael, Rubín-López, José Manuel, Rubio-Caballero, José Amador, Rubio-Campal, José Manuel, Ruíz-Duthil, Ana Delia, Ruíz-Hernández, Pablo M., Sainz-Godoy, Íñigo, Salgado-Aranda, Ricardo, Salvador-Montañés, Óscar, Sánchez-Borque, Pepa, Sandín-Fuentes, María de Gracia, Sarquella-Brugada, Georgia, Sarrias-Mercè, Axel, Saurí-Ortiz, Assumpció, Segura-Villalobos, Federico, Valverde-André, Irene, Vázquez-Esmorís, Iván, Cano, Óscar, Bazán, Víctor, and Arana, Eduardo

Published
2023
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3. Registro español de ablación con catéter. XXII informe oficial de la Asociación del Ritmo Cardiaco de la Sociedad Española de Cardiología (2022)

Author

Alcalde-Rodríguez, Óscar, Almendral-Garrote, Jesús, Alonso-Fernández, Pau, Álvarez-López, Miguel, Álvarez-Acosta, Luis, Anguera-Camos, Ignasi, Arce-León, Álvaro, Arenal, Ángel, Palomares, Miguel Ángel Arias, Arocha-Torres, María Fe, Asso-Abadía, Antonio, Barrera-Cordero, Alberto, Bastos-Amador, Pablo, Benezet-Mazuecos, Juan, Benito-Martínez, Eva María, Bochard-Villanueva, Bruno, Cabanas-Grandío, Pilar, Cabrera-Ramos, Mercedes, Cano-Calabria, Lucas R., del Castillo-Arrojo, Silvia, Cerveró, Alba, Datino-Romaniega, Tomás, Díaz-Infante, Ernesto, Domínguez-Mafé, Eloy, Durán-Guerrero, Juan Manuel, Teja, Juliana Elices, Emilce-Trucco, María, Espinosa-Viamonte, Hildemari, Fabregat-Andrés, Óscar, Fernández-Palacios, Gonzalo, Fernández-Lozano, Ignacio, Fernández-Gómez, Juan Manuel, Ferrer-Hita, Julio Jesús, Fidalgo-Andrés, María Luisa, García-Cuenca, Enrique, García-Rodríguez, Daniel, García-Fernández, Francisco Javier, Gil-Ortega, Ignacio, Gómez-Pulido, Federico, González-Ferrer, Juan José, Grande-Morales, Carlos Eugenio, Guasch-Casany, Eduard, Guerra-Ramos, José María, Herreros-Guilarte, Benito, Hidalgo-Olivares, Víctor Manuel, Ibáñez-Criado, Alicia, Ibáñez-Criado, José Luis, Jiménez-Díaz, Francisco Javier, Jiménez-López, Jesús, Jiménez-Candil, Javier, Lozano-Granero, Vanesa Cristina, Luque-Lezcano, Antonio Óscar, Martí-Almor, Julio, Martín-Sánchez, Gabriel, Martínez-Sande, José Luis, Martínez-Brotons, Ángel Miguel, Mazuelos-Bellido, Francisco, Mendoza-Lemes, Haridian, Menéndez-Ramírez, Diego, Merino-Llorens, José Luis, Moreno-Arribas, José, Moriña-Vázquez, Pablo, Mosquera-Pérez, Ignacio, Moya-Mitjans, Ángel, Osca-Asensi, Joaquín, Pastor-Fuentes, Agustín, Pavón-Jiménez, Ricardo, Pedrote-Martínez, Alonso, Peinado-Peinado, Rafael, Peláez-González, Antonio, Peñafiel-Verdú, Pablo, Pérez-Roselló, Víctor, Porta-Sánchez, Andreu, Portales-Fernández, Javier, Quesada-Dorador, Aurelio, Ramos-Ardanaz, Pablo, Rivas-Gándara, Nuria, Rodríguez-Entem, Felipe José, Rodríguez-Font, Enrique, Rodríguez-Muñoz, Daniel, Romero-Garrido, Rafael, Rubín-López, José Manuel, Rubio-Caballero, José Amador, Rubio-Campal, José Manuel, Ruíz-Duthil, Ana Delia, Ruíz-Hernández, Pablo M., Sainz-Godoy, Íñigo, Salgado-Aranda, Ricardo, Salvador-Montañés, Óscar, Sánchez-Borque, Pepa, Sandín-Fuentes, María de Gracia, Sarquella-Brugada, Georgia, Sarrias-Mercè, Axel, Saurí-Ortiz, Assumpció, Segura-Villalobos, Federico, Valverde-André, Irene, Vázquez-Esmorís, Iván, Cano, Óscar, Bazán, Víctor, and Arana, Eduardo

Published
2023
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4. Improved prediction of electrical storm in patients with prior myocardial infarction and implantable cardioverter defibrillator

Author

Faga, Valentina, Anguera, Ignasi, Oloriz, Teresa, Nombela-Franco, Luis, Teruel, Luis, Dallaglio, Paolo, Perez Guerrero, Ainhoa, Hernando Salazar, Carlos, Escaned, Javier, Asso Abadía, Antonio, Gomez Hospital, Joan Antoni, Rodriguez García, Julián, Rodriguez García, Marcos, Comin Colet, Josep, and Di Marco, Andrea

Published
2022
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5. Estudo Comparativo entre Receptores de Desfibriladores Subcutâneos e Transvenosos em Relação à Tolerância ao Procedimento de Implante e Percepção da Qualidade de Vida

Author

Pablo Esteban Auquilla-Clavijo, Naiara Calvo-Galiano, Marina Povar-Echeverría, Teresa Oloriz-Sanjuan, Francisco Diaz-Cortejana, and Antonio Asso-Abadia

Subjects
Desfibriladores Implantáveis, Desfibriladores Implantáveis Subcutâneos, Estudo Comparativo, Sedação Consciente, Qualidade de Vida, Diseases of the circulatory (Cardiovascular) system, RC666-701
Abstract

Resumo Fundamento O cardioversor-desfibrilador implantável subcutâneo (S-CDI) é uma alternativa segura ao sistema convencional do CDI transvenoso (TV-CDI) para evitar morte súbita. Objetivo Comparar o impacto do tipo de sistema de CDI e técnica cirúrgica na qualidade de vida dos pacientes, bem como a gravidade do desconforto e da dor, entre receptores de S-CDI e TV-CDI. Métodos Pacientes consecutivamente implantados com um sistema S-CDI foram pareados com pacientes com um sistema TV-CDI. Além disso, foram incluídos os pacientes submetidos ao implante de S-CDI após a remoção de um TV-CDI, devido a complicações. Foram avaliadas a qualidade de vida (medida com o questionário de saúde de 12 itens) e a gravidade da dor e desconforto. Significância estatística foi definida como p < 0,05. Resultados Foram analisados 64 pacientes implantados com S-CDI ou TV-CDI sob anestesia local e sedação consciente. Pacientes com sistemas S-CDI e TV-CDI não diferiram significativamente nos escores de qualidade de vida. Os pacientes com S-CDI apresentaram maior nível de dor peri-operatória; nenhuma diferença foi encontrada em relação à gravidade da dor intra-operatória. A magnitude do desconforto estético e dos distúrbios do sono não diferiu entre os grupos.O S-CDI foi implantado em 7 pacientes adicionais após a remoção de um TV-CDI. Todos exceto um desses pacientes recomendaram o sistema S-CDI. Conclusões O tipo de sistema de CDI e a técnica cirúrgica têm impacto insignificante na qualidade de vida dos pacientes. Estes resultados sugerem que a sedação consciente, fornecida por uma equipe experiente de eletrofisiologia, pode ser considerada uma alternativa à anestesia geral para o manejo de pacientes submetidos ao implante de S-CDI.

Published
2021
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6. Spanish Catheter Ablation Registry. 18th Official Report of the Spanish Society of Cardiology Working Group on Electrophysiology and Arrhythmias (2018)

Author

Almendral-Garrote, Jesús, Alonso-Fernández, Pau, Alonso-Martín, Concepción, Alvarenga-Recalde, Nelson María, Álvarez-Acosta, Luis, Álvarez-López, Miguel, Anguera-Camos, Ignasi, Arana-Rueda, Eduardo, Arcocha-Torres, María Fe, Arias-Palomares, Miguel Ángel, Asso-Abadía, Antonio, Ballesteros-Derbenti, Gabriel Alejandro, Barrera-Cordero, Alberto, Benezet-Mazuecos, Juan, Bodegas-Cañas, Andrés I., Brugada-Terradellas, Josep, Cabadés-Rumbeu, Claudia, Cabanas-Grandío, María del Pilar, Cabrera-Gómez, Sandra, Cano-Calabria, Lucas R., del Castillo-Arrojo, Silvia, Castro-Urda, Víctor, Cózar-León, Rocío, Díaz-Infante, Ernesto, Durán-Guerrero, Juan Manuel, Elices-Teja, Juliana, Expósito-Pineda, María del Carmen, Fernández-Gómez, Juan Manuel, Ferrer-Hita, Julio Jesús, Fidalgo-Andrés, María Luisa, Fontenla-Cerezuela, Adolfo, García-Alberola, Arcadio, García-Bolao, J. Ignacio, García-Cuenca, Enrique, García-Fernández, Francisco Javier, Gil-Ortega, Ignacio, Gómez-Pulido, Federico, Grande-Ingelmo, Juan Manuel, Guasch-i-Casany, Eduard, Guerra-Ramos, José M., Heras-Herreros, Santiago, Hernández-Afonso, Julio, Herreros-Guilarte, Benito, Hidalgo-Olivares, Víctor Manuel, Ibáñez-Criado, Alicia, Ibáñez-Criado, José Luis, Ibars-Campaña, Sonia, Jáuregui-Abularach, Miguel Eduardo, Jiménez-Candil, F. Javier, Jiménez-Díaz, Javier, Jiménez-López, Jesús I., Lázaro-Rivera, Carla, Lozano-Herrera, José Miguel, Macías-Gallego, Alfonso, Magnani-Ragamato, Santiago, Martínez-Basterra, Javier, Martínez-Brotons, Ángel, Martínez-Sande, José Luis, Martín-Sánchez, Gabriel, Matías-Francés, Roberto, Merino-Llorens, José Luis, Mont-Girbau, Josep Lluis, Moreno-Arribas, José, Moreno-Planas, Javier, Moya-i-Mitjans, Ángel, Ortega-Molina, Marta, Osca-Asensi, Joaquín, Pastor-Fuentes, Agustín, Pavón-Jiménez, Ricardo, Peinado-Peinado, Rafael, Pérez-Álvarez, Luisa, Pérez-Castellano, Nicasio, Porro-Fernández, Rosa, Porta-Sánchez, Andreu, Punti-Sala, Jordi, Quesada-Dorador, Aurelio, Rivas-Gándara, Nuria, Rodrigo-Trallero, Gonzalo, Rodríguez-Entem, Felipe José, Rodríguez-Pérez, Juan Carlos, Romero-Garrido, Rafael, Rubín-López, José Manuel, Rubio-Caballero, José Amador, Rubio-Campal, José Manuel, Rubio-Sanz, Jerónimo, Ruiz-Hernández, Pablo M., Salgado-Aranda, Ricardo, Sánchez-Gómez, Juan Miguel, Sarquella-Brugada, Georgia, Sarrias-Mercé, Axel, Segura-Saint-Gerons, Jose María, Segura-Villalobos, Federico, Valverde-André, Irene, Ibáñez Criado, José Luis, Quesada, Aurelio, and Cózar, Rocío

Published
2019
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7. Registro Español de Ablación con Catéter. XVIII Informe Oficial de la Sección de Electrofisiología y Arritmias de la Sociedad Española de Cardiología (2018)

Author

Almendral-Garrote, Jesús, Alonso-Fernández, Pau, Alonso-Martín, Concepción, Alvarenga-Recalde, Nelson María, Álvarez-Acosta, Luis, Álvarez-López, Miguel, Anguera-Camos, Ignasi, Arana-Rueda, Eduardo, Arcocha-Torres, María Fe, Arias-Palomares, Miguel Ángel, Asso-Abadía, Antonio, Ballesteros-Derbenti, Gabriel Alejandro, Barrera-Cordero, Alberto, Benezet-Mazuecos, Juan, Bodegas-Cañas, Andrés I., Brugada-Terradellas, Josep, Cabadés-Rumbeu, Claudia, Cabanas-Grandío, María del Pilar, Cabrera-Gómez, Sandra, Cano-Calabria, Lucas R., del Castillo-Arrojo, Silvia, Castro-Urda, Víctor, Cózar-León, Rocío, Díaz-Infante, Ernesto, Durán-Guerrero, Juan Manuel, Elices-Teja, Juliana, Expósito-Pineda, María del Carmen, Fernández-Gómez, Juan Manuel, Ferrer-Hita, Julio Jesús, Fidalgo-Andrés, María Luisa, Fontenla-Cerezuela, Adolfo, García-Alberola, Arcadio, García-Bolao, J. Ignacio, García-Cuenca, Enrique, García-Fernández, Francisco Javier, Gil-Ortega, Ignacio, Gómez-Pulido, Federico, Grande-Ingelmo, Juan Manuel, Guasch-i-Casany, Eduard, Guerra-Ramos, José M., Heras-Herreros, Santiago, Hernández-Afonso, Julio, Herreros-Guilarte, Benito, Hidalgo-Olivares, Víctor Manuel, Ibáñez-Criado, Alicia, Ibáñez-Criado, José Luis, Ibars-Campaña, Sonia, Jáuregui-Abularach, Miguel Eduardo, Jiménez-Candil, F. Javier, Jiménez-Díaz, Javier, Jiménez-López, Jesús I., Lázaro-Rivera, Carla, Lozano-Herrera, José Miguel, Macías-Gallego, Alfonso, Magnani-Ragamato, Santiago, Martínez-Basterra, Javier, Martínez-Brotons, Ángel, Martínez-Sande, José Luis, Martín-Sánchez, Gabriel, Matías-Francés, Roberto, Merino-Llorens, José Luis, Mont-Girbau, Josep Lluis, Moreno-Arribas, José, Moreno-Planas, Javier, Moya-i-Mitjans, Ángel, Ortega-Molina, Marta, Osca-Asensi, Joaquín, Pastor-Fuentes, Agustín, Pavón-Jiménez, Ricardo, Peinado-Peinado, Rafael, Pérez-Álvarez, Luisa, Pérez-Castellano, Nicasio, Porro-Fernández, Rosa, Porta-Sánchez, Andreu, Punti-Sala, Jordi, Quesada-Dorador, Aurelio, Rivas-Gándara, Nuria, Rodrigo-Trallero, Gonzalo, Rodríguez-Entem, Felipe José, Rodríguez-Pérez, Juan Carlos, Romero-Garrido, Rafael, Rubín-López, José Manuel, Rubio-Caballero, José Amador, Rubio-Campal, José Manuel, Rubio-Sanz, Jerónimo, Ruiz-Hernández, Pablo M., Salgado-Aranda, Ricardo, Sánchez-Gómez, Juan Miguel, Sarquella-Brugada, Georgia, Sarrias-Mercé, Axel, Segura-Saint-Gerons, Jose María, Segura-Villalobos, Federico, Valverde-André, Irene, Ibáñez Criado, José Luis, Quesada, Aurelio, and Cózar, Rocío

Published
2019
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9. A manual synchronous low energy shock impedance as a predictor of successful defibrillation testing during subcutaneous icd implantation

Author

C Lopez Perales, N Calvo Galiano, T Oloriz Sanjuan, F Diaz Cortegana, B Jauregui Garrido, N Soto Flores, E Santamaria Luna, P Rodriguez Pradas, M R Ortas Nadal, and A Asso Abadia

Subjects
Physiology (medical), Cardiology and Cardiovascular Medicine
Abstract

Funding Acknowledgements Type of funding sources: None. Background Current guidelines recommend defibrillation testing (DFT) at the time of subcutaneous implantable cardioverter-defibrillator (S-ICD) implantation. Implant position, patient characteristics and device factors, such as shock impedance, can influence defibrillation success. In order to evaluate the shock impedance, a manual synchronous 10J shock (LESS) can be delivered, without the need to induce ventricular fibrillation (VF). Purpose Our objective was to compare LESS and DFT impedance values and to evaluate the diagnostic performance of LESS impedance for prediction of a successful DFT during S-ICD implantation. Methods Consecutive S-ICD implantations were included. Shock impedances were compared by paired t tests. Univariate analysis was performed to investigate factors associated with a successful first shock. A prediction model of successful DFT based on LESS impedance was assessed by logistic regression. Additionally, Receiver Operating Characteristic (ROC) curves and the Hosmer-Lemeshow test were used to evaluate its diagnostic performance. Results Sixty patients were included (52 ± 14. years; 69% male). There were no significant differences between LESS and DFT impedance values. Patients with a failed first shock had higher BMI (30±3 vs. 25.7±4.3, p = 0.014), higher mean LESS (120±35Ω vs 86. ± 23Ω, p= 0.0013) and DFT impedance (122±33Ω vs 87±24, p= 0.0013). ROC analysis showed that LESS impedance had a good diagnostic performance in predicting a successful conversion test (AUC 84% [95% CI: 0.72-0.92]) with a cutoff value of Conclusion LESS impedance values without the need to induce VF can intraoperatively predict the chance of successful DFT.

Published
2023
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11. Spanish Catheter Ablation Registry. 18th Official Report of the Spanish Society of Cardiology Working Group on Electrophysiology and Arrhythmias (2018)

Author

Criado J, Quesada A, Cozar R, Almendral-Garrote J, Alonso-Fernandez P, Alonso-Martin C, Alvarenga-Recalde N, Alvarez-Acosta L, Alvarez-Lopez M, Anguera-Camos I, Arana-Rueda E, Arcocha-Torres M, Arias-Palomares M, Asso-Abadia A, Ballesteros-Derbenti G, Barrera-Cordero A, Benezet-Mazuecos J, Bodegas-Canas A, Brugada-Terradellas J, Cabades-Rumbeu C, Cabanas-Grandio M, Cabrera-Gomez S, Cano-Calabria L, del Castillo-Arrojo S, Castro-Urda V, Cozar-Leon R, Diaz-Infante E, Duran-Guerrero J, Elices-Teja J, Exposito-Pineda M, Fernandez-Gomez J, Ferrer-Hita J, Fidalgo-Andres M, Fontenla-Cerezuela A, Garcia-Alberola A, Garcia-Bolao J, Garcia-Cuenca E, Garcia-Fernandez F, Gil-Ortega I, Gomez-Pulido F, Grande-Ingelmo J, Guasch-I-Casany E, Guerra-Ramos J, Heras-Herreros S, Hernandez-Afonso J, Herreros-Guilarte B, Hidalgo-Olivares V, Ibanez-Criado A, Ibanez-Criado J, Ibars-Campana S, Jauregui-Abularach M, Jimenez-Candil F, Jimenez-Diaz J, Jimenez-Lopez J, Lazaro-Rivera C, Lozano-Herrera J, Macias-Gallego A, Magnani-Ragamato S, Martinez-Basterra J, Martinez-Brotons A, Martinez-Sande J, Martin-Sanchez G, Matias-France R, Merino-Llorens J, Mont-Girbau J, Moreno-Arribas J, Moreno-Planas J, Moya-i-Mitjans A, Ortega-Molina M, Osca-Asensi J, Pastor-Fuentes A, Pavon-Jimenez R, Peinado-Peinado R, Perez-Alvarez L, Perez-Castellano N, Porro-Fernandez R, Porta-Sanchez A, Punti-Sala J, Quesada-Dorador A, Rivas-Gandara N, Rodrigo-Trallero G, Rodriguez-Entem F, Rodriguez-Perez J, Romero-Garrido R, Rubin-Lopez J, Rubio-Caballero J, Rubio-Campal J, Rubio-Sanz J, Ruiz-Hernandez P, Salgado-Aranda R, Sanchez-Gomez J, Sarquella-Brugada G, Sarrias-Merce A, Segura-Saint-Gerons J, Segura-Villalobos F, Valverde-Andre I, and Spanish Catheter Ablation Registry

Published
2019

14. Impact of Dual Chamber Pacing on the Incidence of Atrial and Ventricular Tachyarrhythmias in Recipients of Implantable Cardioverter Defibrillators

Author

Johann Mermi, Antonio Asso Abadia, Bernhard Strohmer, Harald Mayr, Christian Wolpert, Eduardo Castellanos, Martin Kuehl, and Jaswinder Gill

Subjects
Male, Tachycardia, Pacemaker, Artificial, medicine.medical_specialty, Ventricular Tachyarrhythmias, medicine.medical_treatment, Population, Internal medicine, Humans, Medicine, Heart Atria, Prospective Studies, education, Prospective cohort study, Aged, education.field_of_study, business.industry, Incidence, Incidence (epidemiology), Equipment Design, General Medicine, Implantable cardioverter-defibrillator, Defibrillators, Implantable, Icd implantation, Surgery, Multicenter study, Multivariate Analysis, Tachycardia, Ventricular, Cardiology, Female, medicine.symptom, Cardiology and Cardiovascular Medicine, business
Abstract

Recent observations suggest that frequent dual-chamber pacing in recipients of implantable cardioverter defibrillators (ICD) may adversely influence clinical outcomes. This prospective, multicenter study examined the relationship between the frequency of atrial (%AP) and ventricular pacing (%VP) and the incidence of atrial (AT) and/or ventricular tachyarrhythmias (VT) in a standard ICD population. A total of 141 consecutive patients with primary and secondary ICD indications were studied. Continuous arrhythmia detection with a dual-chamber ICD revealed paroxysmal AT in 60 (43%) and VT in 72 (51%) patients within 6 months of device implantation. Far-field oversensing of ventricular signals occurred in 13% of all "atrial tachy response" mode switches. Without adjustment for covariates, a higher %AP was associated with an increased incidence of AT (P0.05). However, this association remained only weakly significant after adjustment for covariates using a multivariate model. High New York heart failure functional classes correlated significantly with AT (P = 0.02) and VT (P = 0.007). Rate-modulated pacing, programmed in 1/3 of patients, correlated with occurrence of AT (P = 0.006), but not with occurrence of VT. With respect to dual-chamber pacing, a %AP/= 48% combined with a %VP40% was associated with an increased probability for VT. In conclusion, AT and VT occurred frequently within 6 months after dual-chamber ICD implantation. High rates of DDD/R stimulation were associated with a trend toward higher incidence of AT, VT, or both.

Published
2005
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