Follow-up of a group of patients with automatic implantable defibrillator

Mendoza González, Celso; Iturralde Torres, Pedro; Guevara Valdivia, Milton E.; Medeiros Domingo, Argelia; Rodríguez Chávez, Laura; Rodríguez Briones, Ignacio; Colin Lizalde, Luis (2002). Follow-up of a group of patients with automatic implantable defibrillator. Archivos de cardiología de México, 72(3), pp. 220-226. Instituto Nacional de Cardiología Ignacio Chávez

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UNLABELLED The automatic implantable defibrillator (AID) is the treatment of choice for primary and secondary prevention of sudden death. At the Instituto Nacional de Cardiología, since October 1996 until January 2002, 25 patients were implanted with 26 AID. There were 23 men (92%) and the mean age of the whole group, was 51.4 years. Twenty-three patients (92%) presented structural heart disease, the most common was ischemic heart disease in 13 patients (52%), with a mean ejection fraction of 37.8%. One patient without structural heart disease had Brugada Syndrome. The most frequent clinical arrhythmia was ventricular tachycardia in 14 patients (56%). The mean follow-up was of 29.3 months during which a total of 30 events of ventricular arrhythmia were treated through AID; six of them were inappropriate due to paroxismal atrial fibrillation; 10 AID patients (34%) have not applied for therapy. Three patients (12%) of the group died due to congestive heart failure refractory to pharmacologic treatment. CONCLUSION The implant of the AID is a safe and effective measure for primary and secondary prevention of sudden death. World-wide experience evidences, that this kind of device has not modified the mortality rate due to heart failure in these patients, but it has diminished sudden arrhythmic death.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Medeiros Domingo, Argelia

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1405-9940

Publisher:

Instituto Nacional de Cardiología Ignacio Chávez

Language:

Español

Submitter:

Argelia Medeiros Domingo

Date Deposited:

13 Jun 2014 15:46

Last Modified:

13 Jun 2014 15:46

PubMed ID:

12418297

URI:

https://boris.unibe.ch/id/eprint/42292

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