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Can pump failure in ICD patients with low ejection fraction be avoided by adding new pacing modes to current ICD’s?

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Book cover Practice and Progress in Cardiac Pacing and Electrophysiology

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 183))

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Abstract

Currently, the implantable cardioverter-defibrillator (ICD) is frequently used to treat patients with life-threatening ventricular arrhythmias. The incidence of ventricular tachycardia and ventricular fibrillation is particularly high in patients with poor left ventricular function [1, 2]. These arrhythmias are the main cause of death in patients with heart failure due to poor left ventricular function [3, 4]. Overall survival after ICD implantation largely depends on the type of underlying cardiac disease and the degree of left ventricular dysfunction [5]. Mean left ventricular ejection fraction in the larger ICD series [6–9] ranges from 29 to 34%. The prevention of sudden cardiac death in patients with low ejection fraction may contribute to further increase in the number of patients with heart failure. It is therefore apparent that the combination of an ICD with another treatment modality to reduce or to prevent pump failure could supply a need to improve functional capacity and quality of life, and possibly also survival in patients with impaired myocardial performance.

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© 1996 Kluwer Academic Publishers

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Bakker, P.F.A. (1996). Can pump failure in ICD patients with low ejection fraction be avoided by adding new pacing modes to current ICD’s?. In: Oto, M.A. (eds) Practice and Progress in Cardiac Pacing and Electrophysiology. Developments in Cardiovascular Medicine, vol 183. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0219-0_33

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  • DOI: https://doi.org/10.1007/978-94-009-0219-0_33

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6582-5

  • Online ISBN: 978-94-009-0219-0

  • eBook Packages: Springer Book Archive

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