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001-es BibID:	BIBFORM007428
Első szerző:	Lemke, Bernd
Cím:	Patient-tailored implantable cardioverter defibrillator testing using the upper limit of vulnerability : the TULIP protocol / Lemke, B., Lawo, T., Zarse, M., Lubinski, A., Kreutzer, U., Mueller, J., Schuchert, A., Mitzenheim, S., Danilovic, D., Deneke, T., Csanadi, Z., The TULIP Study Group
Dátum:	2008
ISSN:	1532-2092 (Electronic)
Megjegyzések:	We evaluated the feasibility of the TULIP (Threshold test using Upper Limit during ImPlantation) protocol, which was designed to provide a confirmed, low defibrillation energy value during implantable cardioverter defibrillator (ICD) implantation with only two induced ventricular fibrillation (VF) episodes. METHODS AND RESULTS: Ninety-eight patients (62 +/- 12 years, 86 male) from 13 clinical centres underwent an active can ICD implantation. A single coupling interval derived from electrocardiogram lead II during ventricular pacing was used for VF induction shocks at 13, 11, 9, and 6 J in a step-down manner until the upper limit of VF induction (ULVI) was determined. If ULVI >or=9 J, a defibrillation energy of ULVI + 4 J was tested. For ULVI <9 J, the defibrillation test energy was 9 J. In 79/98 patients (80.6%), two induced VF episodes were sufficient to obtain confirmed defibrillation energy of 11.1 +/- 3.3 J. The mean strength of the successful VF induction shock was 6.8 +/- 4.3 J, the coupling interval was 303 +/- 35 ms, and the number of delivered induction shocks until the first VF induction was 3.9 +/- 1.6. CONCLUSION: TULIP is a safe and simple device testing procedure allowing the determination of confirmed, low defibrillation energy in most patients with two VF episodes induced at a single coupling interval.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Algorithms Defibrillators, Implantable Equipment Design Equipment Failure Analysis Feasibility Studies Female Humans Male Middle Aged Therapy, Computer-Assisted Treatment Outcome Ventricular Fibrillation
Megjelenés:	Europace. - 10 : 8 (2008), p. 907-913. -
További szerzők:	Lawo, Thomas Zarse, Markus Lubinski, Andrzej Kreutzer, Ulrich Mueller, Johannes Schuchert, Andreas Mitzenheim, Sabine Danilovic, Dejan Deneke, Thomas Csanádi Zoltán (1960-) (kardiológus) The TULIP Study Group
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