Single chamber icd pacing


New S-ICD defibrillator a safety net for cardiac patients

The purpose of this study was to describe the technical feasibility of combining single chamber icd pacing S-ICD with other cardiac implantable electronic devices CIEDsincluding pacemakers with transvenous or epicardial electrodes.

We also provide the first experience of combining an S-ICD with catheter-based therapies, including cardiac contractility modulation CCM and vagus nerve stimulation. In all patients, intraoperative S-ICD testing, crosstalk tests, and postoperative ergometric testing were performed.

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In all 10 patients, device implantations were successfully performed without complications. Mean follow-up was nearly 17 months. S-ICD testing and crosstalk testing before and during exercise enabled device programming across a single chamber icd pacing range of test conditions and was associated with no subsequent evidence of adverse device interaction.

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None of the devices required permanent inactivation or removal, and no patient received an inappropriate shock. In suitable patients, combining an S-ICD with CCM or pacemaker may provide an acceptable means to reduce the number of transvascular leads.

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DOI: doi