Risk of defibrillation threshold testing in severe heart failure patient: A case of cardiac resynchronization therapy (CRT-D) with acute myocardial infarction
Defibrillation threshold (DFT) testing is usually recommended after device implantation to confirm appropriate implantable cardioverter defibrillator (ICD)/cardiac resynchronization therapy defibrillator (CRT-D) function [1,2]. However, induction of ventricular fibrillation may result in hemodynamic...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-04-01
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| Series: | Journal of Arrhythmia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S188042761200035X |
| _version_ | 1818944814204321792 |
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| author | Toshiko Nakai, MD Kimie Ohkubo, MD Yasuo Okumura, MD Satoshi Kunimoto, MD Yuji Kasamaki, MD Ichiro Watanabe, MD Atsushi Hirayama, MD |
| author_facet | Toshiko Nakai, MD Kimie Ohkubo, MD Yasuo Okumura, MD Satoshi Kunimoto, MD Yuji Kasamaki, MD Ichiro Watanabe, MD Atsushi Hirayama, MD |
| author_sort | Toshiko Nakai, MD |
| collection | DOAJ |
| description | Defibrillation threshold (DFT) testing is usually recommended after device implantation to confirm appropriate implantable cardioverter defibrillator (ICD)/cardiac resynchronization therapy defibrillator (CRT-D) function [1,2]. However, induction of ventricular fibrillation may result in hemodynamic compromise, and cardioversion itself may cause myocardial injury [3,4]. We report on a CRT-D patient with acute myocardial infarction who died due to multiple organ failure 1 day after DFT testing. Our case emphasizes the importance of deciding whether DFT testing should be performed for patients with very severe heart failure in the acute stage of myocardial infarction. |
| first_indexed | 2024-12-20T07:49:12Z |
| format | Article |
| id | doaj.art-21c55db1fecd4dc7ad9ce202d31117a8 |
| institution | Directory Open Access Journal |
| issn | 1880-4276 |
| language | English |
| last_indexed | 2024-12-20T07:49:12Z |
| publishDate | 2012-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Arrhythmia |
| spelling | doaj.art-21c55db1fecd4dc7ad9ce202d31117a82022-12-21T19:47:52ZengWileyJournal of Arrhythmia1880-42762012-04-0128211411610.1016/j.joa.2012.03.009Risk of defibrillation threshold testing in severe heart failure patient: A case of cardiac resynchronization therapy (CRT-D) with acute myocardial infarctionToshiko Nakai, MDKimie Ohkubo, MDYasuo Okumura, MDSatoshi Kunimoto, MDYuji Kasamaki, MDIchiro Watanabe, MDAtsushi Hirayama, MDDefibrillation threshold (DFT) testing is usually recommended after device implantation to confirm appropriate implantable cardioverter defibrillator (ICD)/cardiac resynchronization therapy defibrillator (CRT-D) function [1,2]. However, induction of ventricular fibrillation may result in hemodynamic compromise, and cardioversion itself may cause myocardial injury [3,4]. We report on a CRT-D patient with acute myocardial infarction who died due to multiple organ failure 1 day after DFT testing. Our case emphasizes the importance of deciding whether DFT testing should be performed for patients with very severe heart failure in the acute stage of myocardial infarction.http://www.sciencedirect.com/science/article/pii/S188042761200035XCRT-DDefibrillation threshold testing |
| spellingShingle | Toshiko Nakai, MD Kimie Ohkubo, MD Yasuo Okumura, MD Satoshi Kunimoto, MD Yuji Kasamaki, MD Ichiro Watanabe, MD Atsushi Hirayama, MD Risk of defibrillation threshold testing in severe heart failure patient: A case of cardiac resynchronization therapy (CRT-D) with acute myocardial infarction Journal of Arrhythmia CRT-D Defibrillation threshold testing |
| title | Risk of defibrillation threshold testing in severe heart failure patient: A case of cardiac resynchronization therapy (CRT-D) with acute myocardial infarction |
| title_full | Risk of defibrillation threshold testing in severe heart failure patient: A case of cardiac resynchronization therapy (CRT-D) with acute myocardial infarction |
| title_fullStr | Risk of defibrillation threshold testing in severe heart failure patient: A case of cardiac resynchronization therapy (CRT-D) with acute myocardial infarction |
| title_full_unstemmed | Risk of defibrillation threshold testing in severe heart failure patient: A case of cardiac resynchronization therapy (CRT-D) with acute myocardial infarction |
| title_short | Risk of defibrillation threshold testing in severe heart failure patient: A case of cardiac resynchronization therapy (CRT-D) with acute myocardial infarction |
| title_sort | risk of defibrillation threshold testing in severe heart failure patient a case of cardiac resynchronization therapy crt d with acute myocardial infarction |
| topic | CRT-D Defibrillation threshold testing |
| url | http://www.sciencedirect.com/science/article/pii/S188042761200035X |
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