Ventricular Fibrillation in an Ambulatory Patient Supported by a Left Ventricular Assist Device: Highlighting the ICD Controversy

被引:18
作者
Boilson, Barry A. [1 ]
Durham, Lucian A. [2 ]
Park, Soon J. [2 ]
机构
[1] Mayo Clin, Div Cardiovasc Dis, Rochester, MN 55905 USA
[2] Mayo Clin, Div Cardiovasc Surg, Rochester, MN 55905 USA
关键词
DEFIBRILLATOR SHOCKS; ARRHYTHMIAS; PREVENTION; MANAGEMENT; THERAPY;
D O I
10.1097/MAT.0b013e3182434fea
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Left ventricular assist devices (LVADs) provide an effective means of managing advanced pump failure as a means of bridging to cardiac transplantation or as permanent therapy. Although ventricular arrhythmias remain common post-LVAD implantation, such therapy may allow malignant arrhythmias to be tolerated hemodynamically. This report describes the clinical findings in a patient who had likely been in a ventricular tachyarrhythmia for several days and presented in ventricular fibrillation, ambulatory, and mentating normally. This report, with previous similar reports, is additive to the body of evidence that LVADs alter the physiologic impact of ventricular arrhythmias in advanced heart failure and highlights the need for thoughtful programming of implantable cardioverter defibrillator therapies in these patients. ASAIO Journal 2012; 58:170-173.
引用
收藏
页码:170 / 173
页数:4
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