ICD电风暴的参数优化.pptVIP

* * The morbidity index was comprised of the following events: 1) spontaneous episodes treated with device-delivered cardioversion or defibrillation, including appropriate and inappropriate shocks; 2) syncope secondary to arrhythmia or presumed arrhythmia; and 3) untreated sustained symptomatic VT/VF events (defined as untreated symptomatic episodes of at least 30 beats). * * * * * * * * 118 Centers worldwide (4384 patients enrolled) US/CND – 97 (3940) ASEAN/Greater China – 9 (186)-ASEAN=Association of South East Asian Nations(Singapore, Thailand). Greater China=(China,Hong Kong,Republic of Korea,Taiwan) India – 3 (123) ANZ/NZ – 4 (100) Latin America – 5 (35) * RELEVANT published (June 2009) just as first enrollments began (~May 2009) to support 30/40 REMEDIO published (June 2009) just as first enrollment began (~May 2009) to support Wavelet LTI = Longest Treatment Interval. This is the longest interval the device is programmed to detect and treat arrhythmias across all programming zones (or the slowest in bpm). VF NID = Number of interval to detect in the VF programming zone. PR Logic = Dual chamber device discrimination algorithm Wavelet = Single chamber device discrimination feature SVT Limit = Fastest rhythm in bpm (or shortest cycle length) that SVT discriminators will be used LIA = Lead Integrity Alert algorithm (feature). * * The final adjusted model includes covariates: group 2 Implant after TPR, Age, DeviceType CRT-D, DeviceType DC, Indication Primary, AF_History Yes, CABG Yes * Final models covariate: group 2 Implant after TPR, Age, DeviceType CRT-D, DeviceType DC, IMPTYP Device replacement, AF_History Yes Ischemic_Cardiomyopathy Yes CABG Yes. * If we don’t use the slide comparing the improvements for comparison 1 and 2, state here that: Programming behavior changes improved at implant and follow-up (up to absolute 20% vs. up to absolute 14%) However, more often at implant * Electrical Storm in ICD Patients 3 Shocks from ICDs have adverse effects.