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Intra-operative def...
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Baensch, DietmarUniv Hosp Rostock, Dept Internal Med 1, Div Cardiol, Heart Ctr Rostock, D-18057 Rostock, Germany.
(författare)
Intra-operative defibrillation testing and clinical shock efficacy in patients with implantable cardioverter-defibrillators : the NORDIC ICD randomized clinical trial
- Artikel/kapitelEngelska2015
Förlag, utgivningsår, omfång ...
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2015-06-25
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Oxford University Press (OUP),2015
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-265831
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-265831URI
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https://doi.org/10.1093/eurheartj/ehv292DOI
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https://lup.lub.lu.se/record/7477846URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Aims This trial was designed to test the hypothesis that shock efficacy during follow-up is not impaired in patients implanted without defibrillation (DF) testing during first implantable cardioverter-defibrillator (ICD) implantation. Methods and results Between February 2011 and July 2013, 1077 patients were randomly assigned (1 : 1) to first time ICD implantation with (n = 540) or without (n = 537) DF testing. The intra-operative DF testing was standardized across all participating centres, and all ICD shocks were programmed to 40 J irrespective of DF test results. The primary end point was the average first shock efficacy (FSE) for all true ventricular tachycardia and fibrillation (VT/VF) episodes during follow-up. The secondary end points included procedural data, serious adverse events, and mortality. During a median follow-up of 22.8 months, the model-based FSE was found to be non-inferior in patients with an ICD implanted without a DF test, with a difference in FSE of 3.0% in favour of the no DF test [confidence interval (CI) -3.0 to 9.0%, Pnon-inferiority <0.001 for the pre-defined non-inferiority margin of 210%). A total of 112 procedure-related serious adverse events occurred within 30 days in 94 patients (17.6%) tested compared with 89 events in 74 patients (13.9%) not tested (P = 0.095). Conclusion Defibrillation efficacy during follow-up is not inferior in patients with a 40 J ICD implanted without DF testing. Defibrillation testing during first time ICD implantation should no longer be recommended for routine left-sided ICD implantation.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Bonnemeier, HendrikUniv Hosp Schleswig Holstein, Dept Internal Med Cardiol & Angiol 3, Kiel, Germany.
(författare)
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Brandt, JohanLund University,Lunds universitet,Thoraxkirurgi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Thoracic Surgery,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Skane Univ Hosp, Arrhythmia Dept, Lund, Sweden.(Swepub:lu)thor-jbr
(författare)
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Bode, FrankUniv Hosp Schleswig Holstein, Med Clin Cardiol Angiol & Intens Care Med 2, Lubeck, Germany.
(författare)
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Svendsen, Jesper HastrupCopenhagen Univ Hosp, Rigshosp, Dept Cardiol, Ctr Heart, Copenhagen, Denmark.;Univ Copenhagen, Danish Arrhythmia Res Ctr, Copenhagen, Denmark.
(författare)
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Taborsky, MilosFac Hosp Olomouc, Dept Internal Med Cardiol 1, Olomouc, Czech Republic.
(författare)
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Kuster, StefanDRK Hosp Molln Ratzeburg, Dept Internal Med, Cardiol, Ratzeburg, Germany.
(författare)
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Blomström-Lundqvist, CarinaUppsala universitet,Kardiologi-arrytmi(Swepub:uu)carinabl
(författare)
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Felk, AngelikaBiotronik, Berlin, Germany.
(författare)
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Hauser, TinoBiotronik, Berlin, Germany.
(författare)
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Suling, AnnaUniv Med Ctr Hamburg Eppendorf, Dept Med Biometry & Epidemiol, Hamburg, Germany.
(författare)
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Wegscheider, KarlUniv Med Ctr Hamburg Eppendorf, Dept Med Biometry & Epidemiol, Hamburg, Germany.
(författare)
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Univ Hosp Rostock, Dept Internal Med 1, Div Cardiol, Heart Ctr Rostock, D-18057 Rostock, Germany.Univ Hosp Schleswig Holstein, Dept Internal Med Cardiol & Angiol 3, Kiel, Germany.
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Heart Journal: Oxford University Press (OUP)36:37, s. 2500-25070195-668X1522-9645
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Baensch, Dietmar
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Bonnemeier, Hend ...
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Brandt, Johan
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Bode, Frank
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Svendsen, Jesper ...
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Taborsky, Milos
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Kuster, Stefan
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Blomström-Lundqv ...
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Felk, Angelika
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Hauser, Tino
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Suling, Anna
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Wegscheider, Kar ...
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