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Guidelines for Implantation of Automatic Cardioverters/Defibrillators

Literaturnachweis: Zeitschrift für Kardiologie, Band 89.
Z Kardiol 89:136-143 (2000)

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S. H. Hohnloser · D. Andresen · M. Block · G. Breithardt · W. Jung · H. Klein · K. H. Kuck · B. Lüderitz · G. Steinbeck


The present guidelines for implantation of defibrillators (ICD) are based on a careful analysis of recent scientific data on the therapy of ventricular tachyarrhythmias. They represent a modified and updated version of the guidelines published by the German Cardiac Society in 1993.

Aim of ICD therapy

I. Primary aim
The primary goal of ICD therapy is the prolongation of life through a reduction of sudden cardiac death. Cardiac arrest due to hemodynamically not tolerated
ventricular tachyarrhythmias should be terminated by automatic detection and termination of the arrhythmia by the implanted ICD.

II. Secondary aim
Automatic termination of ventricular tachycardia: Ventricular tachycardia (VT) is detected by heart rate and other VT-features and is terminated by antitachycardia pacing or low energy cardioversion. Arrhythmia detection and termination is also accomplished in hemodynamically not compromising ventricular tachycardias. Improvement in the quality of life: Quality of life can be improved by avoiding frequent hospitalizations resulting from recurrent VT-episodes. VTtermination by antitachycardia pacing is not associated with unpleasant symptoms thereby improving quality of life as well.

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