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May 1, 2001Journal of Cardiovascular Electrophysiology

Supraventricular Tachycardia‐Ventricular Tachycardia Discrimination Algorithms in Implantable Cardioverter Defibrillators: State‐of‐the‐Art Review

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Why the study?

Do dual-chamber SVT-VT discrimination algorithms improve the accuracy of tachycardia detection compared to single-chamber algorithms in ICDs?

Comparison

Dual-chamber SVT-VT discrimination algorithms in… vs Single-chamber algorithms

Design

Review

Authors

CSCharles D. SwerdlowElectrophysiology

Discussion

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Implication

Current dual-chamber algorithms may improve SVT-VT discrimination in ICDs; leaves open optimization for AF underdetection and 1:1 tachycardias.

Structured PICO

Do dual-chamber SVT-VT discrimination algorithms improve the accuracy of tachycardia detection compared to single-chamber algorithms in ICDs?

I
Intervention
Dual-chamber SVT-VT discrimination algorithms in implantable cardioverter defibrillators
C
Comparator
Single-chamber algorithms
O
Outcome
Discrimination of ventricular tachycardia (VT) from supraventricular tachycardia (SVT) to reduce inappropriate therapy

Dual-chamber ICD algorithms offer advantages over single-chamber ones for SVT-VT discrimination, but require careful management of atrial sensing to avoid inappropriate therapy or underdetection.

Cite This Study

Charles D. Swerdlow (2001) studied this question.

synapsesocial.com/papers/6a6f8a9bb27f15817827034fhttps://doi.org/10.1046/j.1540-8167.2001.00606.x

Topics

Ventricular arrhythmiasCardiac device therapy
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Performance of a dual-chamber implantable defibrillator algorithm for discrimination of ventricular from supraventricular tachycardia2003 · 44 citations
  2. 2Dual Chamber Arrhythmia Detection in the Implantable Cardioverter Defibrillator2000 · 35 citations
  3. 3Initial clinical experience with a new arrhythmia detection algorithm in dual chamber implantable cardioverter defibrillators2001 · 22 citations
  4. 4A New Classification Algorithm for Discrimination of Ventricular from Supraventricular Tachycardia in a Dual Chamher Implantable Cardioverter Defibrillator1998 · 22 citations
  5. 5Optimal Combination of Discriminators for Differentiating Ventricular from Supraventricular Tachycardia by Dual‐Chamber Defibrillators2005 · 68 citations