Relationship Between Successful Antitachycardic Pacing Delivery and ICD Device Settings Başarılı Antitaşikardi Pacing Uyarımı ile ICD Cihaz Ayarları Arasındaki İlişki
Medical Journal of Bakirkoy, cilt.18, sa.3, ss.285-289, 2022 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 18 Sayı: 3
- Basım Tarihi: 2022
- Doi Numarası: 10.4274/bmj.galenos.2022.2022.3-11
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE
- Sayfa Sayıları: ss.285-289
- Anahtar Kelimeler: Antitachycardic pacing, shock delivery, ventricular arrhythmias
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The delivery of shock in patients with intracardiac defibrillators (ICD) devices is extremely inconvenient, and therefore it is desirable to terminate ventricular arrhythmias with antitachycardic pacing (ATP) as much as possible. In this study, we investigated the relationship between delivery of successful ATP and device measurement values. Methods: A total of 31 patients were enrolled in the cross-sectional case-control study. Patients who were diagnosed with ATP or ICD shock therapy during pacemaker/lead control measurements performed in our outpatient clinic and patients who were admitted to our coronary intensive care unit due to appropriate ICD shock were included in the study. The patients were divided into two groups as those who successfully terminated ventricular tachycardia with ATP as the “successful ATP group” and those who did not terminate successful ventricular tachycardia with ATP as the “unsuccessful ATP group.” Results: In the correlation analysis performed between the demographic characteristics, clinical characteristics, battery and lead measurements of the patients and successful ATP, a statistically significant correlation was found between the mean ventricular tachycardia (VT) detection rate and the number of burst pacings and successful ATP (r= -0.699, p=0.036, and r= 0.414, p=0.036, respectively). Moreover, the presence of diabetes mellitus (DM) was significantly associated with successful ATP (r= -0.406 p=0.024). There was no significant relationship between other clinical and device measurement values and successful ATP. Conclusion: Our study revealed that the presence of DM, the number of burst pacings, and the VT zone detection may be associated with ATP success in patients with ICD.