The Subcutaneous Implantable Cardioverter-Defibrillator Should Patients Want One?

被引:18
|
作者
Hauser, Robert G. [1 ]
机构
[1] Abbott NW Hosp, Minneapolis Heart Inst, Minneapolis, MN 55356 USA
关键词
implantable cardioverter-defibrillator; regulation; sudden cardiac death;
D O I
10.1016/j.jacc.2012.07.069
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The subcutaneous implantable cardioverter-defibrillator is a novel device that does not require insertion of a transvenous lead; rather, it delivers 80-J transthoracic shocks via a subcutaneous pulse generator implanted in the left lateral chest and a subcutaneous left parasternal lead-electrode. It recently received approval by U. S. Food and Drug Administration panel on the basis of a 180-day study in 330 patients. However, it has not been shown to be non inferior to current implantable cardioverter-defibrillators, and it does not provide either anti-tachycardia or bradycardia pacing. Thus, is this technology ready for widespread application? Specifically, should a patient want one? (J Am Coll Cardiol 2013;61:20-2) (C) 2013 by the American College of Cardiology Foundation
引用
收藏
页码:20 / 22
页数:3
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