Utility of using far-field R-wave signals in the detection of fatal ventricular arrhythmia

IF 2.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Arrhythmia Pub Date : 2024-12-23 DOI:10.1002/joa3.13207
Yousaku Okubo MD, PhD, Hisayasu Matsuzaki BE, Shogo Miyamoto MD, Sho Okamura MD, PhD, Yukiko Nakano MD, PhD
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Abstract

Current guidelines recommend cardioverter-defibrillator (ICD) programming, including faster detection rates, longer detection durations, and strict discrimination for supraventricular tachycardia (SVT) to prevent unnecessary ICD treatment. This delayed-style ICD programming could lead to a rise in the possibility of VF undersensing. To avoid this risk, an innovative algorithm known as VF Therapy Assurance (VFTA; Abbott, Sylmar, CA) has been developed. VFTA uses far-field R-wave signals during VT or VF episodes to provide ICD therapy in cases of near-field R-wave signal undersensing.

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远场r波信号在致命性室性心律失常检测中的应用。
目前的指南建议制定心律转复除颤器(ICD)规划,包括更快的检出率、更长的检测持续时间和严格区分室上性心动过速(SVT),以防止不必要的ICD治疗。这种延迟式ICD编程可能导致VF感知不足的可能性增加。为了避免这种风险,一种创新的算法被称为VF治疗保证(VFTA;雅培,Sylmar, CA)已经开发。在近场r波信号感应不足的情况下,VFTA在VT或VF发作时使用远场r波信号提供ICD治疗。
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来源期刊
Journal of Arrhythmia
Journal of Arrhythmia CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.90
自引率
10.00%
发文量
127
审稿时长
45 weeks
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