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dc.contributor.author | Hadid, Claudio | es_ES |
dc.contributor.author | Atienza, Felipe | es_ES |
dc.contributor.author | Strasberg, Boris | es_ES |
dc.contributor.author | Arenal, Ángel | es_ES |
dc.contributor.author | Codner, Pablo | es_ES |
dc.contributor.author | González-Torrecilla, Esteban | es_ES |
dc.contributor.author | Datino, Tomás | es_ES |
dc.contributor.author | Percal, Tamara | es_ES |
dc.contributor.author | Almendral, Jesús | es_ES |
dc.contributor.author | Ortiz, Mercedes | es_ES |
dc.contributor.author | Martins, Raphael | es_ES |
dc.contributor.author | Martínez Alzamora, María Nieves | es_ES |
dc.contributor.author | Fernández-Avilés, Francisco | es_ES |
dc.date.accessioned | 2017-01-26T17:07:13Z | |
dc.date.available | 2017-01-26T17:07:13Z | |
dc.date.issued | 2015-05 | |
dc.identifier.issn | 1897-5593 | |
dc.identifier.uri | http://hdl.handle.net/10251/77365 | |
dc.description.abstract | Background: Ventricular fibrillation is routinely induced during implantable cardioverter- -defibrillator insertion to assess defibrillator performance, but this strategy is experiencing a progressive decline. We aimed to assess the efficacy of defibrillator therapies and long-term outcome in a cohort of patients that underwent defibrillator implantation with and without defibrillation testing. Methods: Retrospective observational series of consecutive patients undergoing initial defibrillator insertion or generator replacement. We registered spontaneous ventricular arrhythmias incidence and therapy efficacy, and mortality. Results: A total of 545 patients underwent defibrillator implantation (111 with and 434 without defibrillation testing). After 19 (range 9–31) months of follow-up, the death rate per observation year (4% vs. 4%; p = 0.91) and the rate of patients with defibrillator-treated ventricular arrhythmic events per observation year (with test: 10% vs. without test: 12%; p = 0.46) were similar. The generalized estimating equations-adjusted first shock probability of success in patients with test (95%; CI 88–100%) vs. without test (98%; CI 96–100%; p = 0.42) and the proportion of successful antitachycardia therapies (with test: 87% vs. without test: 80%; p = 0.35) were similar between groups. There was no difference in the annualized rate of failed first shock per patient and per shocked patient between groups (5% vs. 4%; p = 0.94). Conclusions: In this observational study, that included an unselected population of patients with a defibrillator, no difference was found in overall mortality, first shock efficacy and rate of failed shocks regardless of whether defibrillation testing was performed or not. | es_ES |
dc.language | Inglés | es_ES |
dc.publisher | Via Medica | es_ES |
dc.relation.ispartof | Cardiology Journal | es_ES |
dc.rights | Reconocimiento - No comercial - Sin obra derivada (by-nc-nd) | es_ES |
dc.subject | Implantable cardioverter-defibrillator | es_ES |
dc.subject | Defibrillation testing | es_ES |
dc.subject | Ventricular fibrillation | es_ES |
dc.subject | Defibrillator shocks | es_ES |
dc.subject | Mortality | es_ES |
dc.subject.classification | ESTADISTICA E INVESTIGACION OPERATIVA | es_ES |
dc.title | Clinical impact of defibrillation testing at the time of implantable cardioverter-defibrillator insertion | es_ES |
dc.type | Artículo | es_ES |
dc.identifier.doi | 10.5603/Cj.a2014.0062 | |
dc.rights.accessRights | Abierto | es_ES |
dc.contributor.affiliation | Universitat Politècnica de València. Escuela Técnica Superior de Ingeniería del Diseño - Escola Tècnica Superior d'Enginyeria del Disseny | es_ES |
dc.description.bibliographicCitation | Hadid, C.; Atienza, F.; Strasberg, B.; Arenal, Á.; Codner, P.; González-Torrecilla, E.; Datino, T.... (2015). Clinical impact of defibrillation testing at the time of implantable cardioverter-defibrillator insertion. Cardiology Journal. 22(3):253-259. doi:10.5603/Cj.a2014.0062 | es_ES |
dc.description.accrualMethod | S | es_ES |
dc.relation.publisherversion | http://dx.doi.org/10.5603/Cj.a2014.0062 | es_ES |
dc.description.upvformatpinicio | 253 | es_ES |
dc.description.upvformatpfin | 259 | es_ES |
dc.type.version | info:eu-repo/semantics/publishedVersion | es_ES |
dc.description.volume | 22 | es_ES |
dc.description.issue | 3 | es_ES |
dc.relation.senia | 269349 | es_ES |
dc.identifier.eissn | 1898-018X |