| Implanted automatic defibrillators: effects of drugs and pacemakers. | |
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MedLine Citation:
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PMID: 2463613 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The automatic implantable cardioverter defibrillator is an effective device for prevention of sudden cardiac death. Patients who require the implantation of the device often require permanent pacing for symptomatic bradyarrhythmias and may require antiarrhythmic drug therapy. Antiarrhythmic drugs may alter the defibrillation thresholds, arrhythmia cycle length and frequency, pacing thresholds and postshock excitability. Interactions between the defibrillator and the pacemaker may result in sensing problems, leading to multiple counting and inappropriate shocks, or ventricular fibrillation nondetection, sensing or capture failure post defibrillation and pacemaker reprogramming induced by defibrillator discharge. The potential for interactions will increase as the new generation of programmable defibrillators become clinically available, combining features of permanent pacemakers, antitachycardia pacemakers and defibrillators. |
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Authors:
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I Singer; T Guarnieri; J Kupersmith |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Pacing and clinical electrophysiology : PACE Volume: 11 ISSN: 0147-8389 ISO Abbreviation: Pacing Clin Electrophysiol Publication Date: 1988 Dec |
Date Detail:
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Created Date: 1989-02-16 Completed Date: 1989-02-16 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7803944 Medline TA: Pacing Clin Electrophysiol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 2250-62 Citation Subset: IM |
Affiliation:
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Cardiovascular Division, University of Louisville, KY 40202. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Arrhythmia Agents
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therapeutic use* Arrhythmias, Cardiac / prevention & control* Combined Modality Therapy Death, Sudden* Electric Countershock / instrumentation* Electrodes, Implanted Humans Pacemaker, Artificial* Ventricular Fibrillation / prevention & control* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Arrhythmia Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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