Short QT syndrome AICD placement
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]
Overview
An implantable cardioverter-defibrillator (ICD) is indicated in[1]:
- Patients who survive sudden death and symptomatic patients
- Patients with a family history of sudden cardiac death
Generally accepted criteria for implantation of an AICD also include:
- Inducibility on electrophysiologic testing
- Positive genetic test, although a negative result does not exclude the presence of a previously unreported mutation or the occurrence of a future arrhythmic event
Complications of AICD Placement
Inappropriate shocks may be delivered due to[2]:
- The occurence of tachycardias such as sinus tachycardia and atrial fibrillation.
- Oversensing of the tall, narrow peaked T wave
References
- ↑ Borggrefe M. FESC, Wolpert C, Veltmann C, Giustetto C, Gaita F, Schimpf R. Short QT Syndrome : A new primary electrical disease, ESC E journal, Vol 3 N°34, 10 May 2005. [1]
- ↑ Schimpf R, Wolpert C, Bianchi F, et al. Congenital Short QT Syndrome and Implantable Cardioverter Defibrillator Treatment: Inherent Risk for Inappropriate Shock Delivery. J Cardiovasc Electrophysiol 2003; 14: 1273-1277.