| Item type |
学内発行雑誌 / Departmental Bulletin Paper(1) |
| 公開日 |
2020-06-01 |
| タイトル |
|
|
タイトル |
Effect of Implantable Cardioverter-defibrillator Therapy for Ventricular Fibrillation Patients with Out-of-hospital Cardiac Arrest |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ |
departmental bulletin paper |
| 著者 |
GOKAN, Toshihiko
KAWAMURA, Mitsuharu
ARAI, Shuhei
YOSHIKAWA, Kosuke
TANISAWA, Hiroki
OGAWA, Ko
OCHI, Akinori
ONISHI, Yoshimi
MUNETSUGU, Yumi
ITO, Hiroyuki
ONUKI, Tatsuya
KOBAYASHI, Youichi
SHINKE, Toshiro
|
| 書誌情報 |
The Showa University journal of medical sciences
巻 32,
号 1,
p. 43-55,
発行日 2020-04
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Survivors of ventricular fibrillation out-of-hospital cardiac arrest（VF-OHCA）due to potentially reversible causes such as acute coronary syndrome（ACS）, vasospastic angina and electrolyte abnormalities are considered low risk for recurrent arrhythmia. Accordingly, implantable cardioverter-defibrillator therapy is not routinely recommended in such patients. We investigated the risk of mortality and the value of ICD therapy for VF-OHCA. Among 2,248 cardiopulmonary arrest patients presenting at our hospital, we retrospectively investigated 110 patients with VF-OHCA who were admitted for treatment. We divided the patients based on ICD（n＝71） or No-ICD status（n＝39）, and on reversible cause（n＝70） or irreversible cause（n＝40）. The groups were compared for baseline characteristics, mortality and ICD therapies. Patients with a reversible cause had a significantly lower rate of ICD implantation than those with an irreversible cause（P＝0.03）. Males in the ICD group presented more frequently than those in the No-ICD group, and cardiac mortality in patients with acute coronary syndrome was significantly lower with ICD therapy than without ICD（P＝0.04）. The rate of appropriate ICD therapies with a reversible cause was 28％, and the first ICD therapy was highest within 1 year post-implantation. Patients with VF-OHCA due to a reversible cause remain at high risk of recurrent ventricular arrhythmias, suggesting that ICD implantation is a reasonable approach in such cases. |
| DOI |
|
|
関連タイプ |
isIdenticalTo |
|
|
関連識別子 |
10.15369/sujms.32.43 |
| 出版者 |
|
|
出版者 |
Showa University Society |
| ISSN |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
2185-0968 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
S32_43.pdf (238.7 kB)
