Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Short QT syndrome AICD placement
Introduction
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Overview
Overview
An implantable cardioverter-defibrillator (ICD) is indicated in[1]:
- Patients who survive sudden death and symptomatic patients
- Patients with a family history of sudden cardiac death
Generally accepted criteria for implantation of an AICD also include:
- Inducibility on electrophysiologic testing
- Positive genetic test, although a negative result does not exclude the presence of a previously unreported mutation or the occurrence of a future arrhythmic event
Complications of AICD Placement
Inappropriate shocks may be delivered due to[2]:
- The occurence of tachycardias such as sinus tachycardia and atrial fibrillation.
- Oversensing of the tall, narrow peaked T wave
References
References
- ↑ Borggrefe M. FESC, Wolpert C, Veltmann C, Giustetto C, Gaita F, Schimpf R. Short QT Syndrome : A new primary electrical disease, ESC E journal, Vol 3 N°34, 10 May 2005. [1]
- ↑ Schimpf R, Wolpert C, Bianchi F, et al. Congenital Short QT Syndrome and Implantable Cardioverter Defibrillator Treatment: Inherent Risk for Inappropriate Shock Delivery. J Cardiovasc Electrophysiol 2003; 14: 1273-1277.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]