Advertisement
Heart Rhythm
Advanced searchSave search
Hands on| Volume 3, ISSUE 4, P492-495, April 2006

Download started.

Ok

How to manage the patient with a high defibrillation threshold

Published:March 07, 2006DOI:https://doi.org/10.1016/j.hrthm.2005.12.023
How to manage the patient with a high defibrillation threshold
Previous ArticleSupraventricular tachycardia vs ventricular tachycardia: What is the rhythm?
Next ArticleLarge septic pulmonary embolism complicating extraction of an infected transvenous defibrillator lead
      Defibrillation threshold (DFT) testing is an integral part of implantable cardioverter-defibrillator (ICD) placement and follow-up. Unfortunately, the DFT can vary widely from day to day, influenced by many factors including electrolytes, sympathetic tone, antiarrhythmic drugs, and other medications. For this reason, a 10-J safety margin between the lowest successful defibrillation energy during testing and the maximal device output has been widely adapted as standard practice.
      • Marchlinski F.E.
      • Flores B.
      • Miller J.M.
      • Gottlieb C.D.
      • Hargrove 3rd, W.C.
      Relation of the intraoperative defibrillation threshold to successful postoperative defibrillation with an automatic implantable cardioverter defibrillator.
      Am J Cardiol. 1988; 62: 393-398
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Heart Rhythm
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

        • Marchlinski F.E.
        • Flores B.
        • Miller J.M.
        • Gottlieb C.D.
        • Hargrove 3rd, W.C.
        Relation of the intraoperative defibrillation threshold to successful postoperative defibrillation with an automatic implantable cardioverter defibrillator.
        Am J Cardiol. 1988; 62: 393-398
        View in Article
        • Russo A.M.
        • Sauer W.
        • Gerstenfeld E.P.
        • et al.
        Defibrillation threshold testing.
        Heart Rhythm. 2005; 2: 456-461
        View in Article
        • Epstein A.E.
        • Ellenbogen K.A.
        • Kirk K.A.
        • Kay G.N.
        • Dailey S.M.
        • Plumb V.J.
        Clinical characteristics and outcome of patients with high defibrillation thresholds. A multicenter study.
        Circulation. 1992; 86: 1206-1216
        View in Article
        • Tang A.S.
        • Hendry P.
        • Goldstein W.
        • Green M.S.
        • Luce M.
        Nonthoracotomy implantation of cardioverter defibrillators.
        Pacing Clin Electrophysiol. 1996; 19: 960-964
        View in Article
        • Stajduhar K.C.
        • Ott G.Y.
        • Kron J.
        • et al.
        Optimal electrode position for transvenous defibrillation.
        J Am Coll Cardiol. 1996; 27: 90-94
        View in Article
        • Trappe H.J.
        • Pfitzner P.
        • Fain E.
        • Dresler C.
        • Fieguth H.G.
        Transvenous defibrillation leads.
        Pacing Clin Electrophysiol. 1997; 20: 880-892
        View in Article
        • Markewitz A.
        • Kaulbach H.
        • Mattke S.
        • et al.
        Influence of anodal electrode position on transvenous defibrillation efficacy in humans.
        Pacing Clin Electrophysiol. 1997; 20: 2193-2199
        View in Article
        • Cesario D.
        • Bhargava M.
        • Valderrabano M.
        • Fonarow G.C.
        • Wilkoff B.
        • Shivkumar K.
        Azygos vein lead implantation.
        J Cardiovasc Electrophysiol. 2004; 15: 780-783
        View in Article
        • Butter C.
        • Meisel E.
        • Tebbenjohanns J.
        • et al.
        Transvenous biventricular defibrillation halves energy requirements in patients.
        Circulation. 2001; 104: 2533-2538
        View in Article

      Article info

      Publication history

      Published online: March 07, 2006

      Identification

      DOI: https://doi.org/10.1016/j.hrthm.2005.12.023

      Copyright

      © 2006 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect
      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the for this site.
      Copyright © 2023 Elsevier Inc. except certain content provided by third parties. The content on this site is intended for healthcare professionals.


      RELX