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PO-02-167 FACTORS IMPACTING SHOCK IMPEDANCE IN SUBCUTANEOUS IMPLANTABLE-CARDIOVERTER DEFIBRILLATORS IN PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY

HeartRhythm

Since approval in late 2012, the subcutaneous implantable cardioverter-defibrillator (SICD) has been used as an alternative to the traditional transvenous ICD (TV-ICD) for SCD prevention in HCM. Elevated shock impedance has been associated with failed defibrillation.

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MP-470545-006 TEN-YEAR EXPERIENCE OF THE SUBCUTANEOUS IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR IN PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY

HeartRhythm

Since approval in late 2012, the subcutaneous implantable cardioverter-defibrillator (SICD) has been used as an alternative to the traditional transvenous ICD (TV-ICD) for SCD prevention in HCM. Hypertrophic cardiomyopathy (HCM) is associated with risk of sudden cardiac death (SCD).

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Implantable Cardioverter Defibrillator Alert in Dextrocardia with Transposition of the Great Arteries

HeartRhythm

A 50-year-old woman with dextrocardia and D-transposition of the great arteries presented with a “RV defib lead impedance” remote-monitoring alert from her implantable cardioverter defibrillator (ICD). In 2012, she had a ventricular fibrillation cardiac arrest. An epicardial pacemaker was implanted.

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Seizure in a 30 something

Dr. Smith's ECG Blog

This episode self terminated before defibrillation was possible. mEq/L for Mg++ ) — given that ECF levels of these cations comprise only ~1-2% of total body stores ( Jahnen-Dechent and Ketteler — Clin Kidney J 5(Suppl 1):i3-i14, 2012 — and — Udensi and Tchounwou — Int J Clin Exp Physiol 4(3): 111-122, 2017 ). mEq/L for K+ and 1.76

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Cardiac resynchronization therapy (CRT) – why is it so important?

Cardiomatics

Both the Comparison of Medical Therapy, Pacing and Defibrillation in Heart Failure (COMPANION) and the Cardiac Resynchronisation—Heart Failure (CARE-HF) trials [3,4], which were the cornerstone of electrotherapy in HF patients, showed up to a 36% reduction in mortality, an effect size rarely seen in trials today [5]. 2012, 14, 628–634. [5]

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A Middle-Aged male with Chest Pain and an Unusual ECG

Dr. Smith's ECG Blog

Cardioversion/defibrillation. Electrocardiol 45:433-442, 2012 ). A partial list includes the following: Certain drugs ( antiarrhythmics; calcium channel blockers; ß-blockers; antianginals; psychotropic medications; alcohol; cocaine; other drugs ). Acute febrile illness. Variations in autonomic tone. Hypothermia. Ischemia/infarction.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Circulation, 117, 1890–1893. [3]: 3]: Lamelas P, Labadet C, Spernanzoni F, Lopez Saubidet C, and Alvarez PA. Brugada electrocardiographic pattern induced by fever. World Journal of Cardiology, 4(3): 84-86. [4]: 4]: Antzelevitch C and Brugada R.