| Considerations for ventricular fibrillation detection by implantable cardioverter defibrillators. | |
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MedLine Citation:
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PMID: 8160589 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Implantable cardioverter defibrillator detection of ventricular fibrillation is inherently a complicated process. Nevertheless, there is a clinical imperative that ventricular fibrillation be detected with 100% sensitivity. Incumbent with the need for such a high sensitivity is a trade-off that results in diminished ventricular fibrillation detection specificity, which in turn results in unnecessary delivery of high-energy shocks. In this review we look in generic terms at the different lead and detection systems available and the effect of these systems on both undersensing and oversensing of ventricular fibrillation. In addition, several clinical and programming issues that affect sensitivity and specificity of ventricular fibrillation detection are reviewed. |
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Authors:
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G K Jones; G H Bardy |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: American heart journal Volume: 127 ISSN: 0002-8703 ISO Abbreviation: Am. Heart J. Publication Date: 1994 Apr |
Date Detail:
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Created Date: 1994-05-19 Completed Date: 1994-05-19 Revised Date: 2006-02-27 |
Medline Journal Info:
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Nlm Unique ID: 0370465 Medline TA: Am Heart J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1107-10 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, University of Washington School of Medicine, Seattle, WA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Defibrillators, Implantable* Electrodes, Implanted Equipment Design Humans Sensitivity and Specificity Signal Processing, Computer-Assisted Tachycardia, Ventricular / diagnosis* Ventricular Fibrillation / diagnosis, therapy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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