Long-term experience with the automatic implantable cardioverter-defibrillator in a patient with ventricular tachyarrhythmias.
The authors offer a retrospective appraisal of a technique for the treatment of malignant ventricular tachyarrhythmias using the automatic implantable cardioverterdefibrillator (AICD) in a patient with right ventricular arrhythmogenic dysplasia. Device function after the first implantation and reimplantation was checked by repeated (63 times) outpatient 24-hr ECG monitoring. All recordings suggested a reliable detecting and defibrillating function of the AICD. The patient died two years after the first implantation. The probable cause of death was failure of the mechanical myocardial function.
D000328:Adult; D001145:Arrhythmias, Cardiac / Q000503:physiopathology / Q000628:therapy*; D004554:Electric Countershock / Q000295:instrumentation*; D004562:Electrocardiography; D006352:Heart Ventricles; D006801:Humans