Why the study?
Does a single-lead ICD system with atrial-sensing electrodes reduce inappropriate ICD therapy compared to standard single-lead ICDs in patients undergoing primary prophylactic implantation?
Population
212 consecutive patients undergoing primary prophylactic single-lead implantable cardioverter-defibrillator…
Comparison
Single-lead ICD system with a ventricular lead… vs Single-lead ICD system with a ventricular lead…
Design
Cohort
Follow-up
mean 697 ± 392 days
Authors
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May reduce inappropriate therapies with single-chamber ICDs; leaves open need for randomized confirmation before practice change.
Does a single-lead ICD system with atrial-sensing electrodes reduce inappropriate ICD therapy compared to standard single-lead ICDs in patients undergoing primary prophylactic implantation?
The use of a single-lead ICD with atrial-sensing electrodes significantly reduces the incidence of inappropriate therapies compared to standard single-lead ICDs, without increasing operative burden or complications.
Kurt et al. (2018) studied this question.
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