フルテキストURL J_Cardiology_70_1_23.pdf Fig.pdf
著者 Tachibana, Motomi| Nishii, Nobuhiro| Morimoto, Yoshimasa| Kawada, Satoshi| Miyoshi, Akihito| Sugiyama, Hiroyasu| Nakagawa, Koji| Watanabe, Atsuyuki| Nakamura, Kazufumi| Morita, Hiroshi| Ito, Hiroshi|
抄録 BACKGROUND: In order to minimize inappropriate shocks of subcutaneous implantable cardioverter-defibrillators (S-ICD), it is important to recognize who is suitable for S-ICD indication. This study aimed to clarify what types of cardiac disease are likely to fulfill the S-ICD screening criteria and ineligible factors for S-ICD in the standard 12-lead electrocardiogram (ECG). METHODS: A total of 348 patients with heart disease were enrolled. They were assessed by supine and standing ECG recording to simulate the 3 S-ICD sensing vectors and standard 12-lead ECG, simultaneously. Clinical and ECG characteristics were analyzed to compare the patients who are eligible and ineligible with S-ICD screening ECG indication. RESULTS: The mean age of study patients was 49±21 years and 244 (70%) were men. Nineteen percent of patients were unsuitable for S-ICD. There was no significant difference in ineligibility for S-ICD among cardiac diseases (p=0.48). Univariate analysis showed complete right bundle branch block (CRBBB), QRS-T discordance in lead II, and QRS-T discordance in 3 leads (I, II, and aVF) were more frequent in patients who were ineligible for S-ICD than in the eligible group. Multivariate regression analysis showed CRBBB and QRS-T discordance in 3 leads were independent predictors for ineligibility of S-ICD. CONCLUSION: There are no differences in eligibility of S-ICD among types of cardiac diseases. CRBBB and QRS-T discordance were independent predictors for ineligibility.
キーワード Implantable cardioverter-defibrillator Sudden cardiac death Ventricular arrhythmia
備考 This is an Accepted Manuscript of an article published by Elsevier
発行日 2017-07
出版物タイトル Journal of Cardiology
70巻
1号
出版者 Japanese College of Cardiology
開始ページ 23
終了ページ 28
ISSN 0914-5087
NCID AN10070473
資料タイプ 学術雑誌論文
言語 English
OAI-PMH Set 岡山大学
著作権者 https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ja
論文のバージョン author
PubMed ID 28034575
DOI 10.1016/j.jjcc.2016.11.014
Web of Sience KeyUT 000408601100004
関連URL isVersionOf https://doi.org/10.1016/j.jjcc.2016.11.014