Avoidance of defibrillation threshold testing at the time of internal defibrillator insertion: is it safe?

Bu makale implantabl kardiyoverter defibrilatör takılması sırasında defibrilasyon eşiğinin ölçülmesi gerekliliğine ilişkin tartışmalı bir soruya ışık tutmak üzere, ileriye dönük olarak yürütülen kısa süreli önemli bir çalışma ile desteklenen bir konu incelemesinden oluşmuştur. Bu sorunun yanıtlanması, işlemi daha kolay ve maliyet etkin bir hale getirerek, iyi düzeyde belgelenmiş morbidite ve mortalitenin azaltılması üzerinde önemli bir etkisi olacaktır.

İnternal defibrilatör takılması sırasında defibrilasyon eşik testinden kaçınılması: Güvenli mi?

This article consists of a subject review supported by a short-term pilot study which was conducted prospectively to shed light into the controversial question regarding the necessity of having the defibrillation threshold measured at the time of the implantable cardioverter defibrillator implantation. Answering this question will have an important impact on reducing the well-documented morbidity and mortality, making the operation simpler and cost-effective.

PDF

___

1. Buxton AE, Lee KL, Fisher JD, Josephson ME, Prystowsky EN, Hafley G. A randomized study of the prevention of sudden death in patients with coronary artery disease. Multicenter Unsustained Tachycardia Trial Investigators. N Engl J Med 1999;341:1882-90.
2. Zipes DP, Camm AJ, Borggrefe M, Buxton AE, Chaitman B, Fromer M, et al. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death) developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society. Europace 2006;8:746-837.
3. Zipes DP, Roberts D. Results of the international study of the implantable pacemaker cardioverter-defibrillator. A comparison of epicardial and endocardial lead systems. The Pacemaker-Cardioverter-Defibrillator Investigators. Circulation 1995;92:59-65.
4. Birnie D, Tung S, Simpson C, Crystal E, Exner D, Ayala Paredes FA, et al. Complications associated with defibrillation threshold testing: the Canadian experience. Heart Rhythm 2008;5:387-90.
5. Duray GZ, Hohnloser SH. Defibrillation testing: the need for a definitive trial. J Cardiovasc Electrophysiol 2010;21:183-5.
6. Swerdlow CD, Russo AM, Degroot PJ. The dilemma of ICD implant testing. Pacing Clin Electrophysiol 2007;30:675-700.
7. Russo AM, Sauer W, Gerstenfeld EP, Hsia HH, Lin D, Cooper JM, et al. Defibrillation threshold testing: is it really necessary at the time of implantable cardioverterdefibrillator insertion? Heart Rhythm 2005;2:456-61.
8. Pires LA, Johnson KM. Intraoperative testing of the implantable cardioverter-defibrillator: how much is enough? J Cardiovasc Electrophysiol 2006;17:140-5.
9. Blatt JA, Poole JE, Johnson GW, Callans DJ, Raitt MH, Reddy RK, et al. No benefit from defibrillation threshold testing in the SCD-HeFT (Sudden Cardiac Death in Heart Failure Trial). J Am Coll Cardiol 2008;52:551-6.
10. Joglar JA, Kessler DJ, Welch PJ, Keffer JH, Jessen ME, Hamdan MH, et al. Effects of repeated electrical defibrillations on cardiac troponin I levels. Am J Cardiol 1999;83:270-2, A6.
11. Frame R, Brodman R, Furman S, Kim SG, Roth J, Ferrick K, et al. Clinical evaluation of the safety of repetitive intraoperative defibrillation threshold testing. Pacing Clin Electrophysiol 1992;15:870-7.
12. Alter P, Waldhans S, Plachta E, Moosdorf R, Grimm W. Complications of implantable cardioverter defibrillator therapy in 440 consecutive patients. Pacing Clin Electrophysiol 2005;28:926-32.
13. Lurie KG, Iskos D, Fetter J, Peterson CA, Collins JM, Shultz JJ, et al. Prehospital discharge defibrillation testing in ICD recipients: a prospective study based on cost analysis. Pacing Clin Electrophysiol 1999;22:192-6.
14. Gula LJ, Massel D, Krahn AD, Yee R, Skanes AC, Klein GJ. Is defibrillation testing still necessary? A decision analysis and Markov model. J Cardiovasc Electrophysiol 2008;19:400-5.
15. Viskin S, Rosso R. The top 10 reasons to avoid defibrillation threshold testing during ICD implantation. Heart Rhythm 2008;5:391-3.
16. Wyse DG, Kavanagh KM, Gillis AM, Mitchell LB, Duff HJ, Sheldon RS, et al. Comparison of biphasic and monophasic shocks for defibrillation using a nonthoracotomy system. Am J Cardiol 1993;71:197-202.
17. Bianchi S, Ricci RP, Biscione F, Sgreccia F, Di Belardino N, Rossi P, et al. Primary prevention implantation of cardioverter defibrillator without defibrillation threshold testing: 2-year follow-up. Pacing Clin Electrophysiol 2009;32:573-8.
18. Healey JS, Dorian P, Mitchell LB, Talajic M, Philippon F, Simpson C, et al. Canadian Registry of ICD Implant Testing procedures (CREDIT): current practice, risks, and costs of intraoperative defibrillation testing. J Cardiovasc Electrophysiol 2010;21:177-82.
19. Lever NA, Newall EG, Larsen PD. Differences in the characteristics of induced and spontaneous episodes of ventricular fibrillation. Europace 2007;9:1054-8.
20. Wathen MS, DeGroot PJ, Sweeney MO, Stark AJ, Otterness MF, Adkisson WO, et al. Prospective randomized multicenter trial of empirical antitachycardia pacing versus shocks for spontaneous rapid ventricular tachycardia in patients with implantable cardioverter-defibrillators: Pacing Fast Ventricular Tachycardia Reduces Shock Therapies (PainFREE Rx II) trial results. Circulation 2004;110:2591-6.
21. Strickberger SA, Klein GJ. Is defibrillation testing required for defibrillator implantation? J Am Coll Cardiol 2004;44:88-91.
22. Zipes DP, Jackman WM, Heger JJ, Chilson DA, Browne KF, Naccarelli GV, et al. Clinical transvenous cardioversion of recurrent life-threatening ventricular tachyarrhythmias: low energy synchronized cardioversion of ventricular tachycardia and termination of ventricular fibrillation in patients using a catheter electrode. Am Heart J 1982;103:789-94.
23. Strickberger SA, Daoud EG, Davidson T, Weiss R, Bogun F, Knight BP, et al. Probability of successful defibrillation at multiples of the defibrillation energy requirement in patients with an implantable defibrillator. Circulation 1997;96:1217-23.