Abstract
Patients in whom an implantable cardioverter defibrillator (ICD) is indicated and who have concomitant significant sinus-node disease or atrioventricular block may be candidates for a dual-chamber device. However, it is still a matter of debate whether the dual-chamber ICD is also advantageous for patients with preserved sinus and atrioventricular nodal function, as data from prospective randomized trials are limited. Overall, the number of implanted dual-chamber devices has been increasing and, according to the 2003 AIAC Registry data, accounted for one-third of all the defibrillators implanted in Italy, while single chamber devices made up 39%. The theoretical advantages of dual-chamber ICDs are: better supraventricular tachycardia (SVT) discrimination, optimal treatment of bradyarrhythmias (pre-existing or drug induced), and major hemodynamic benefits.
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Del Greco, M., Gramegna, L., Marini, M., Disertori, M. (2007). How To Choose Between Single-Chamber and Dual-Chamber ICD. In: Gulizia, M.M. (eds) Current News in Cardiology. Springer, Milano. https://doi.org/10.1007/978-88-470-0636-2_31
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DOI: https://doi.org/10.1007/978-88-470-0636-2_31
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0635-5
Online ISBN: 978-88-470-0636-2
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