Document Detail


Evaluation of the effectiveness of a wearable cardioverter defibrillator detection algorithm.
MedLine Citation:
PMID:  19570548     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Wearable cardioverter defibrillators (WCDs) provide protection from sudden cardiac death. The efficacy of a WCD detection algorithm has not been reported outside of clinical trial. METHODS: The efficacy of the algorithm was reviewed through a retrospective analysis of appropriate shocks, inappropriate shocks, and arrhythmia detections during a 1-year period. RESULTS: WCD patients had an appropriate shock rate of 1.58 per 100 patient-months and an inappropriate shock rate of 0.99 per 100 patient-months. Most of the arrhythmia detections in a 3-month period were short in length, with only 2.7% of the detections lasting over 25 seconds, the time at which a shock becomes possible. CONCLUSIONS: By incorporating a patient responsiveness test, as well as features that eliminate or reduce signal interference common to external electrocardiogram electrodes, the WCD detection algorithm has a low risk of inappropriate shocks.
Authors:
Katie A Dillon; Steven J Szymkiewicz; Thomas E Kaib
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  43     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-03-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  63-7     Citation Subset:  IM    
Affiliation:
ZOLL Lifecor Corporation, Pittsburgh, PA, USA. dillon.katie@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Algorithms*
Arrhythmias, Cardiac / diagnosis*,  prevention & control*
Child
Computer-Aided Design
Diagnosis, Computer-Assisted / instrumentation,  methods
Electric Countershock / instrumentation*,  methods*
Electrocardiography, Ambulatory / instrumentation*,  methods*
Equipment Design
Equipment Failure Analysis
Female
Humans
Male
Middle Aged
Reproducibility of Results
Sensitivity and Specificity
Therapy, Computer-Assisted / instrumentation,  methods
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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