Subcutaneous implantable cardioverter defibrillator: Where do we stand?

The indications for implantable cardioverter defibrillators (ICDs) for the prevention of sudden cardiac death (SCD) have rapidly expanded over the past 15 years. Clinical trial data have quickly been implemented into guidelines. The recently introduced subcutaneous implantable cardioverter defibrill...

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Main Authors: Arindam Pande, Soumya Patra, Debabrata Bera, Prakas Chandra Mondal, Rabin Chakraborty
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Heart India
Subjects:
Online Access:http://www.heartindia.net/article.asp?issn=2321-449x;year=2016;volume=4;issue=2;spage=50;epage=55;aulast=Pande
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author Arindam Pande
Soumya Patra
Debabrata Bera
Prakas Chandra Mondal
Rabin Chakraborty
author_facet Arindam Pande
Soumya Patra
Debabrata Bera
Prakas Chandra Mondal
Rabin Chakraborty
author_sort Arindam Pande
collection DOAJ
description The indications for implantable cardioverter defibrillators (ICDs) for the prevention of sudden cardiac death (SCD) have rapidly expanded over the past 15 years. Clinical trial data have quickly been implemented into guidelines. The recently introduced subcutaneous implantable cardioverter defibrillator (S-ICD) uses a completely subcutaneous electrode configuration to treat potentially lethal ventricular tachyarrhythmia. The device is now commercially available in India. Clinical trials have proven its effectiveness in detecting and treating ventricular fibrillation (VF) and tachycardia. The S-ICD offers the advantage of eliminating the need for intravenous and intracardiac leads and their associated risks and shortcomings. However, major disadvantages of this device include inability to provide bradycardia rate support and antitachycardia pacing to terminate ventricular tachycardia. As seen with other early examples of evolutionary technology, we hope improvements in design and manufacture will improve some of the drawbacks of the current generation device.
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spelling doaj.art-9349d24f814a4383b3ceb351253f993a2022-12-21T23:29:00ZengWolters Kluwer Medknow PublicationsHeart India2321-449X2016-01-0142505510.4103/2321-449X.183519Subcutaneous implantable cardioverter defibrillator: Where do we stand?Arindam PandeSoumya PatraDebabrata BeraPrakas Chandra MondalRabin ChakrabortyThe indications for implantable cardioverter defibrillators (ICDs) for the prevention of sudden cardiac death (SCD) have rapidly expanded over the past 15 years. Clinical trial data have quickly been implemented into guidelines. The recently introduced subcutaneous implantable cardioverter defibrillator (S-ICD) uses a completely subcutaneous electrode configuration to treat potentially lethal ventricular tachyarrhythmia. The device is now commercially available in India. Clinical trials have proven its effectiveness in detecting and treating ventricular fibrillation (VF) and tachycardia. The S-ICD offers the advantage of eliminating the need for intravenous and intracardiac leads and their associated risks and shortcomings. However, major disadvantages of this device include inability to provide bradycardia rate support and antitachycardia pacing to terminate ventricular tachycardia. As seen with other early examples of evolutionary technology, we hope improvements in design and manufacture will improve some of the drawbacks of the current generation device.http://www.heartindia.net/article.asp?issn=2321-449x;year=2016;volume=4;issue=2;spage=50;epage=55;aulast=PandeImplantable cardioverter defibrillatorsubcutaneoussudden cardiac death
spellingShingle Arindam Pande
Soumya Patra
Debabrata Bera
Prakas Chandra Mondal
Rabin Chakraborty
Subcutaneous implantable cardioverter defibrillator: Where do we stand?
Heart India
Implantable cardioverter defibrillator
subcutaneous
sudden cardiac death
title Subcutaneous implantable cardioverter defibrillator: Where do we stand?
title_full Subcutaneous implantable cardioverter defibrillator: Where do we stand?
title_fullStr Subcutaneous implantable cardioverter defibrillator: Where do we stand?
title_full_unstemmed Subcutaneous implantable cardioverter defibrillator: Where do we stand?
title_short Subcutaneous implantable cardioverter defibrillator: Where do we stand?
title_sort subcutaneous implantable cardioverter defibrillator where do we stand
topic Implantable cardioverter defibrillator
subcutaneous
sudden cardiac death
url http://www.heartindia.net/article.asp?issn=2321-449x;year=2016;volume=4;issue=2;spage=50;epage=55;aulast=Pande
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