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Cardiac Arrhythmias 1997 pp 100–109Cite as

Implantable Atrial Defibrillator: Which Results and Indications?

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Abstract

Atrial fibrillation (AF) is a frequent and costly health care problem and represents the most common arrhythmia resulting in hospital admission. The overall prevalence of AF in the United States ranges from <1% in young, otherwise healthy individuals up to nearly 9% in elderly patients. AF may cause disabling symptoms and serious adverse effects such as impairment of cardiac function or thromboembolic events. Due to the limited efficacy of antiarrhythmic drugs for AF, several non-pharmacologic options have evolved including pacemaker therapy, transvenous catheter ablation techniques, surgical procedures, and treatment with an implantable atrial defibrillator (IAD). The high prevalence of AF and its clinical complications, the poor efficacy of medical therapy for preventing recurrences, and dissatisfaction with alternative modes of therapy stimulated interest in an IAD [1].

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References

  1. Lüderitz B, Pfeiffer D, Tebbenjohanns J, Jung W (1996) Nonpharmacologic strategies for treating atrial fibrillation. Am J Cardiol 77: 45A – 52A

    Article  PubMed  Google Scholar 

  2. Lown B, Amarasingham R, Neuman J (1962) New method for terminating cardiac arrhythmias - use of synchronised capacitor discharge. JAMA 182: 548 – 555

    Article  PubMed  CAS  Google Scholar 

  3. Mower MM, Mirowski M, Denniston RH (1972) Assessment of various models of acetylcholine induced atrial fibrillation for study of intra-atrial cardioversion. Clin Res 20: 388 (abstr)

    Google Scholar 

  4. Dunbar DN, Tobler HG, Fetter J, Gornick CC, Bennson DW, Benditt DG (1986) Intracavitary electrode catheter cardioversion of atrial tachyarrhythmias in the dog. J Am Coll Cardiol 7: 1015 – 1027

    Article  PubMed  CAS  Google Scholar 

  5. Benditt D, Dunbar D, Fetter J, Sakaguchi S, Lurie KG Adler SW (1994) Low-energy transvenous cardioversion defibrillation of atrial tachyarrhythmias in the canine: an assessment of electrode configurations and monophasic pulse sequencing. Am Heart J 127: 994 – 1003

    Article  PubMed  CAS  Google Scholar 

  6. Kumagai K, Yamanouchi Y, Noritami T, Hiroki T, Arakawa K (1990) Low energy synchronous transcatheter cardioversion of atrial flutter/fibrillation in the dog. J Am Coll Cardiol 16: 497 – 501

    Article  PubMed  CAS  Google Scholar 

  7. Powell AC, Garan H, McGovern BA, Fallon JT, Krishnan SC, Ruskin JN (1992) Low energy conversion of atrial fibrillation in the sheep. J Am Coll Cardiol 20: 707 – 711

    Article  PubMed  CAS  Google Scholar 

  8. Cooper RAS, Alferness CA, Smith WM, Ideker RE (1993) Internal cardioversion of atrial fibrillation in sheep. Circulation 87: 1673 – 1686

    Article  PubMed  CAS  Google Scholar 

  9. Tacker WA, Schoenlein WE, Janas W, Ayers GM, Wagner DO (1993) Catheter electrode evaluation for transvenous atrial defibrillation. PACE 16: 853 (abstr)

    Google Scholar 

  10. Ortiz J, Niwano S, Abe H, Gonzalez X, Ayers GM, Waldo AL (1994) Transvenous atrial defibrillation in two canine models of atrial fibrillation. J Am Coll Cardiol 23: 125A (abstr)

    Google Scholar 

  11. Kumagai K, Yamanouchi Y, Hiroki T, Arakwa K (1991) Effect of transcatheter cardioversion on chronic lone atrial fibrillation. PACE 14: 1571 – 1575

    Article  PubMed  CAS  Google Scholar 

  12. Levy S, Lacombe P, Cointe R, Bru P(1988) High energy transcatheter cardioversion of chronic atrial fibrillation. J Am Coll Cardiol 12: 514 – 518

    Google Scholar 

  13. Levy S, Lauribe P, Dolla E, Kou W, Kadish A, Calkins H, Paganelli F, Moyal C, Bremondy M, Schork A, Shyr Y, Das S, Shea M, Gupta N, Morady F (1992) A randomized comparison of external and internal cardioversion of chronic atrial fibrillation. Circulation 86: 1415 – 1420

    Article  PubMed  CAS  Google Scholar 

  14. Nathan WW, Bexton RS, Spurrell RA, Camm AJ (1984) Internal transvenous low energy cardioversion for the treatment of cardiac arrhythmias. Br Heart J 52: 377 – 384

    Article  PubMed  CAS  Google Scholar 

  15. Keane D, Sulke N, Cooke R, Jackson G, Sowton E (1993) Endocardial cardioversion of atrial flutter and fibrillation. PACE 16: 313 (abstr)

    Google Scholar 

  16. Johnson EE, Yarger MD, Wharton JM (1993) Monophasic and biphasic waveforms for low energy internal cardioversion of atrial fibrillation in humans. Circulation 88: 3184 (abstr)

    Google Scholar 

  17. Murgatroyd FD, Slade AKB, Sopher SM, Rowland E, Ward DE, Camm AJ (1995) Efficacy and tolerability of transvenous low energy cardioversion of paroxysmal atrial fibrillation in humans. J Am Coll Cardiol 25: 1347 – 1353

    Article  PubMed  CAS  Google Scholar 

  18. Alt E, Schmitt C, Ammer R, Coenen M, Fotuhi P, Karch M, Blasini R (1994) Initial experience with intracardiac atrial defibrillation in patients with chronic atrial fibrillation. PACE 17: 1067 – 1078

    Article  PubMed  CAS  Google Scholar 

  19. Kalman JM, Jones EF, Doolan L, Oliver LE, Power JM, Tonkin AM (1995) Low energy endocardial cardioversion of atrial arrhythmias in humans. PACE 18: 1869 – 1875

    Article  PubMed  CAS  Google Scholar 

  20. Jung W, Tebbenjohanns J, Wolpert C, Lüderitz B (1995) Safety, efficacy, and pain perception of internal atrial defibrillation in humans. Circulation 92: 472 (abstr)

    Google Scholar 

  21. Jung W, Pfeiffer D, Wolpert C, Pizzulli L, Fehske W, Schumacher B, Lewalter T, Omran H, Korte T, Lüderitz B (1996) Which patients do benefit from an implantable atrial defibrillator?. J Am Coll Cardiol 27: 301A (abstr)

    Google Scholar 

  22. Schmitt C, Alt E, Plewan A, Ammer R, Leibig M, Karch M, Schömig A (1996) Low energy intracardiac cardioversion after failed conventional external cardioversion of atrial fibrillation. J Am Coll Cardiol 28: 994 – 999

    Article  PubMed  CAS  Google Scholar 

  23. Sopher SM, Murgatroyd FD, Slade AKB, Blankhoff I, Rowland E, Ward DE, Camm AJ (1996) Low energy internal cardioversion of atrial fibrillation resistant to transthoracic shocks. Heart 75: 635 – 638

    Article  PubMed  CAS  Google Scholar 

  24. Heisel A, Jung J, Fries R, Stopp M, Sen S, Schieffer H, Özbek C (1997) Low energy transvenous cardioversion of short duration atrial tachyarrhythmias in humans using a single lead system. PACE 20: 65 – 71

    Article  PubMed  CAS  Google Scholar 

  25. Levy S, Ricard P, Lau CP, Lok NS, Camm AJ, Murgatroyd FD, Jordaens LJ, Kappenberger LJ, Brugada P, Ripley KL (1997) Multicenter low energy transvenous atrial defibrillation ( XAD) trial results in different subsets of atrial fibrillation. J Am Coll Cardiol 29: 750–755

    Google Scholar 

  26. Ayers GM, Alferness CA, Ilina M, Wagner DO, Sirokman A, Adams JM, Griffin JC (1994) Ventricular proarrhythmic effects of ventricular cycle length and shock strength in a sheep model of transvenous atrial defibrillation. Circulation 89: 413 – 422

    Article  PubMed  CAS  Google Scholar 

  27. Hillsey RE, Wharton M (1995) Implantable atrial defibrillators. J Cardiovasc Electrophysiol 6: 634 – 648

    Article  Google Scholar 

  28. Roelke M, Trouton TG, O’Nunain SS, Garan H, McGovern BA, Ruskin JN (1993) Implantable cardioverter-defibrillator shocks do not convert atrial fibrillation to sinus rhythm. J Am Coll Cardiol 21: 303A (abstr)

    Google Scholar 

  29. Saksena S, Mongeon L, Krol R, Varanasi S, Kolettis T, Mahtew P, DeGroot P, Mehra R (1995) Clinical efficacy and safety of atrial defibrillation using biphasic shocks and current nonthoracotomy endocardial lead configurations Am J Cardiol 76: 913 – 921

    CAS  Google Scholar 

  30. Saksena S, Prakash A (1996) Atrial defibrillation: techniques and clinical results. In: Saksena S, Lüderitz B (eds) Interventional electrophysiology. Futura Publishing Co. Inc., Armonk, NY, pp 509 – 520

    Google Scholar 

  31. Poole JE, Kudenchuk PJ, Dolack L, Jones GK, Gleva MJ, Raitt MH, Johnson G, Mehra R, Mongeon L, Bardy GH (1995) Atrial defibrillation using a unipolar single lead right ventricular to pectoral can system. J Am Coll Cardiol 25: 110A (abstr)

    Google Scholar 

  32. Jung W, Mletzko R, Hügl B, Manz M, Lüderitz B (1991) Incidence of atrial tachyarrhythmias following shock delivery of implantable cardioverter/defibrillators. Circulation 84:Ií–612 (abstr)

    Google Scholar 

  33. Jones GK, Johnson G, Troutmann C, Buono G, Gartman DM, Kudenchuk PJ, Polle JE, Dolack GL, Bardy GH (1992) Incidence of atrial fibrillation following ventricular defibrillation with transvenous lead systems in man. J Cardiovasc Electrophysiol 3: 411 – 417

    Article  Google Scholar 

  34. Lau CP, Tse HF, Lok NS, Lee KLF, Ho DSW, Sopher M, Murgatroyd FD, Camm AJ (1997) Initial clinical experience with an implantable human atrial defibrillator. PACE 20: 220 – 225

    Article  PubMed  CAS  Google Scholar 

  35. Levy S, Camm J (1993) An implantable atrial defibrillator. Circulation 87: 1769 – 1772

    Article  PubMed  CAS  Google Scholar 

  36. Levy S, Richard P (1994) Is there any indication for an intracardiac defibrillator for the treatment of atrial fibrillation?. J Cardiovasc Electrophysiol 5: 982 – 985

    Article  PubMed  CAS  Google Scholar 

  37. Touboul P (1995) Atrial defibrillator: Is it needed? Would society pay for it?. PACE 18: 616 – 621

    Article  PubMed  CAS  Google Scholar 

  38. Lau CP, Tse HF, Jung W, Lüderitz B, Sra J,Akhtar M, Sopher M, Camm AJ (1996) Safety and efficacy of a human implantable defibrillator for atrial fibrillation. Circulation 94:I–562 (abstr)

    Google Scholar 

  39. Jung W, Kirchhoff PG, Lau CP, Tse HF, Lüderitz B for the Metrix System Clinical Investigational Group (1997) Therapy delivery with the METRIX automatic atrial defibrillation system: threshold stability and shock safety. J Am Coll Cardiol 29: 78A (abstr)

    Google Scholar 

  40. Jung W, Lüderitz B (1997) Implantation of a new arrhythmia management system in patients with supraventricular and ventricular tachyarrhythmias. Lancet 349: 853 – 854

    Article  PubMed  CAS  Google Scholar 

  41. Lüderitz B, Jung W, Deister A, Manz M (1994) Patient acceptance of implantable cardioverter defibrillator devices: changing attitudes. Am Heart J 127: 1179 – 1184

    Article  PubMed  Google Scholar 

  42. Jung W, Deister A, Lüderitz B (1997) Quality of life, psychological, and social aspects in patients with implantable cardioverter-defibrillators. In: Allessie M, Fromer M (eds) Atrial and ventricular fibrillation: mechanisms and device therapy. Futura Publishing Co. Inc., Armonk, NY, pp 311 – 320

    Google Scholar 

  43. Lüderitz B, Jung W (1997) Quality of life of patients with atrial fibrillation. In: Santini M (ed) Progress in clinical pacing. Futura Media Sevices Inc., Armonk, NY, pp 253 – 262

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Medicine-Cardiology, University of Bonn, Germany

    W. Jung & B. Lüderitz

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  1. W. Jung
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  2. B. Lüderitz
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Editors and Affiliations

  1. Divisione di Cardiologia, Ospedale Umberto I, Via Circonvallazione 50, I-30174, Venezia Mestre, Italy

    Antonio Raviele MD

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© 1998 Springer-Verlag Italia

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Jung, W., Lüderitz, B. (1998). Implantable Atrial Defibrillator: Which Results and Indications?. In: Raviele, A. (eds) Cardiac Arrhythmias 1997. Springer, Milano. https://doi.org/10.1007/978-88-470-2288-1_14

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  • DOI: https://doi.org/10.1007/978-88-470-2288-1_14

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2290-4

  • Online ISBN: 978-88-470-2288-1

  • eBook Packages: Springer Book Archive

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