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Cardiac Amyloidosis Treated with an Implantable Cardioverter Defibrillator and Subcutaneous Array Lead System: Report of a Case and Literature Review
Clinical cardiology (Mahwah, N.J.), 2009-08, Vol.32 (8), p.E63-E65
Dhoble, Abhijeet
Khasnis, Atul
Olomu, Adesuwa
Thakur, Ranjan
2009
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Dhoble, Abhijeet
Khasnis, Atul
Olomu, Adesuwa
Thakur, Ranjan
Titel
Cardiac Amyloidosis Treated with an Implantable Cardioverter Defibrillator and Subcutaneous Array Lead System: Report of a Case and Literature Review
Ist Teil von
Clinical cardiology (Mahwah, N.J.), 2009-08, Vol.32 (8), p.E63-E65
Ort / Verlag
New York: Wiley Periodicals, Inc
Erscheinungsjahr
2009
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Background Preventing ventricular arrhythmias in patients with cardiac amyloidosis is challenging since the amyloid protein deposition in the myocardium may interfere with the normal cardiac electric excitation. Most of these patients succumb to either progressive congestive heart failure, or sudden cardiac death (SCD). Implantable Cardioverter Defibrillator (ICD) offers a near sure means of preventing SCD. Hypothesis Myocardial infiltration with amyloid results in elevated defibrillation threshold (DFT). Intra‐operative strategies may fail to lower DFT during implantation. Methods We present a case of a 64‐year‐old female who had cardiac amyloidosis, and was successfully treated with an ICD and a subcutaneous array lead system. Conclusion A subcutaneous array lead system is useful in reducing the DFT, and can terminate ventricular tachycardia or fibrillation by allowing more energy delivery and efficient defibrillation. Copyright © 2009 Wiley Periodicals, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 0160-9289, 1932-8737
eISSN: 1932-8737
DOI: 10.1002/clc.20389
Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6653454
Format
–
Schlagworte
Amyloidosis - complications
,
Amyloidosis - diagnostic imaging
,
Amyloidosis - therapy
,
Case Report
,
Case Reports
,
Death, Sudden, Cardiac - etiology
,
Death, Sudden, Cardiac - prevention & control
,
Defibrillators, Implantable
,
Electric Countershock - instrumentation
,
Equipment Design
,
Female
,
Heart Diseases - complications
,
Heart Diseases - diagnostic imaging
,
Heart Diseases - therapy
,
Humans
,
Middle Aged
,
Tachycardia, Ventricular - etiology
,
Tachycardia, Ventricular - therapy
,
Tomography, X-Ray Computed
,
Treatment Outcome
,
Ventricular Fibrillation - etiology
,
Ventricular Fibrillation - therapy
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