ID 98234
Title Transcription
チシセイ フセイミャク ノ ヒヤクブツ リョウホウ
Title Alternative
Non-pharmacological therapy to fatal arrhythmias
Author
Ohtani, Ryuji Division of Cardiology, Tokushima Red Cross Hospital
Hiasa, Yoshikazu Division of Cardiology, Tokushima Red Cross Hospital
Keywords
sudden cardiac death
ventricular tachycardia
ventricular fibrillation
implantable cardioverter defibrillator
Content Type
Journal Article
Description
The majority of sudden cardiac death (SCD) is caused by fatal arrhythmias (brady-and tachyarrhythmia), most of leading to SCD are tachy-arrhythmias like ventricular tachycardia (VT) or ventricular fibrillation (VF).
Implantable cardioverter defibrillator (ICD) therapy to VT and VF is dramatically demonstrating improved survival from SCD by randomized clinical trials. Today’s ICD devices are implanted pectorally with transvenous lead in most patients, so procedures can be done by physician (duration of procedure 1-2 hrs).
We had performed ICD therapy to forty-two patients including with low left ventricular function. Although all patients could leave hospital, several patients died of heart failure and suffered from inappropriate therapy. In patients with advanced heart failure, cardiac-resynchronization therapy may decrease the risk of death from heart failure, when combined with ICD.
Resynchronization therapy may have clinical benefit, especially when combined with an implantable defibrillator.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
61
Issue
5-6
Start Page
140
End Page
145
Sort Key
140
Published Date
2005-12-20
Remark
FullText File
language
jpn