title: [10 years of therapy with implantable defibrillators--observation in 353 patients].
abstract: Since January 1984, the cardioverter-defibrillator (ICD) has been implanted in 353 patients (pts). Epicardial ICD implantation was performed in 207 pts and 146 pts underwent non-thoracotomy ICD implant. Overall operative mortality was 3% (12/353 pts) and was significantly higher in pts with epicardial ICD implantation (11/207 pts, 5%) than in patients who received non-thoracotomy ICDs (1/146 pts, < 1%) (p < 0.05). During a mean follow-up of 25 +/- 23 months, 63 pts (19%) died: 8 pts (0.8% per year) from sudden arrhythmic death and 6 pts (0.8% per year) suddenly without an underlying arrhythmia. Cardiac death was observed in 36 pts (4% per year) and 13 pts (2% per year) died from other causes. Appropriate ICD discharges were observed in 245 pts (72%) with a mean incidence of 22 +/- 44 IC discharges per pt. In pts with third-generation ICDs, 3,542 ventricular tachyarrhythmias (VTA) were observed and terminated by primary ICD shocks in 778 VTA (22%). Antitachycardia pacing was attempted in 2,764 VTA (78%) and was successful in 2,484 VTA (90%).
authors.affiliation: Abteilung Thorax-, Herz- und Gefässchirurgie, Medizinische Hochschule Hannover.
authors.forename: H J
authors.initials: HJ
authors.lastname: Trappe
authors.forename: P
authors.initials: P
authors.lastname: Wenzlaff
authors.forename: H
authors.initials: H
authors.lastname: Klein
authors.forename: P
authors.initials: P
authors.lastname: Pfitzner
authors.forename: H G
authors.initials: HG
authors.lastname: Fieguth
authors.forename: B
authors.initials: B
authors.lastname: Kielblock
authors.forename: P R
authors.initials: PR
authors.lastname: Lichtlen
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D016757:Death, Sudden, Cardiac / Q000517:prevention & control*; D017147:Defibrillators, Implantable / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013249:Sternum / Q000601:surgery; D015996:Survival Rate; D017180:Tachycardia, Ventricular / Q000401:mortality / Q000628:therapy*; D013908:Thoracotomy; D014693:Ventricular Fibrillation / Q000401:mortality / Q000628:therapy
vernacular_title: 10 Jahre Therapie mit implantierbaren Defibrillatoren--eine Beobachtung bei 353 Patienten.