title: [Experience with the use of an implantable automatic cardioverter defibrillator].
abstract: An automatic implantable cardioverter-defibrillator with pacemaker was implanted in Cuba, in ten patients with malignant ventricular arrhythmias, sudden cardiac collapse, and ventricular tachycardia with syncope, after a previous electrophysiological study for analysis of the arrhythmia and pharmacological evaluation. The patients were 9 males, ranging in age from 23 a 70 years, with a mean of 48 years, and an ejection fraction of 32% (18-62%). The etiologies were: an old myocardial infarction (7 cases) and dilated cardiomyopathy (3 cases). During the follow-up, mean from 2 to 25 months, four patients received effective shocks for rapid palpitations and presyncope. Two patients died, one due to incessant ventricular tachycardia and one of a cause unrelated to device. We concluded that the GUARDIAN 4201 and 4202 device are useful to prevent sudden cardiac death in high risk patients who experienced a life threatening arrhythmia.
authors.affiliation: Instituto de Cardiología y Cirugía Cardiovascular, La Habana, Cuba.
authors.forename: F
authors.initials: F
authors.lastname: Dórticos
authors.forename: R
authors.initials: R
authors.lastname: Zayas
authors.forename: M
authors.initials: M
authors.lastname: Dorantes
authors.forename: J
authors.initials: J
authors.lastname: Tain
authors.forename: J
authors.initials: J
authors.lastname: Bueno
authors.forename: J
authors.initials: J
authors.lastname: Carballido
authors.forename: H
authors.initials: H
authors.lastname: Sainz
mesh_terms: D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000503:physiopathology / Q000628:therapy*; D004554:Electric Countershock / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D019736:Prostheses and Implants
vernacular_title: Experiencia en el uso del desfibrilador cardioverter automático implantable.