[Patient with implantable cardioverter-defibrillator follow up--clinic problems].
During each clinic visit, all patients with implantable cardioverter-defibrillator (ICD) undergo a complete history and physical examination, ICD interrogation, threshold testing, evaluation of electrode sensing, and routine ECG testing. When indicated, other tests, such as chest radiography and echocardiography are also performed. After each therapy delivery the patient is seen in the clinic and the device is interrogated, or a remote transmission is sent to evaluate the event and to be sure that the therapy was appropriate. This is particularly crucial because inappropriate therapies are not rare. Also, the medical therapy is re-evaluated to ensure that it does not require alteration. ICD troubleshooting requires systematic analysis of evidence based on history, physical examination, and analysis of retrieved ICD information.
Lelakowski
Jacek
J
Uniwersytet Jagielloński, Collegium Medicum, Instytut Kardiologii, Klinika Elektrokardiologii w Krakowskim Szpitalu Specjalistycznym im. Jana Pawła II, Kraków. jlelakow@szpitaljp2.krakow.pl
D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D017147:Defibrillators, Implantable; D004452:Echocardiography; D004562:Electrocardiography; D019544:Equipment Failure Analysis / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008487:Medical History Taking; D010808:Physical Examination
D000889:Anti-Arrhythmia Agents