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Eligibility of cardiac resynchronization therapy patients for subcutaneous implantable cardioverter defibrillators
Authors:Ghassan Moubarak  Pierre Maison-Blanche  Olivier Thomas
Affiliation:Department of Electrophysiology and Pacing, Centre Médico-Chirurgical Ambroise Paré, Neuilly-sur-Seine, France
Abstract:The eligibility for subcutaneous implantable cardioverter-defibrillators (S-ICD) was assessed among patients already implanted with cardiac resynchronization therapy (CRT). We included 20 patients (15 men, age 73 ± 10 years, LVEF 35 ± 10%). Seventeen (85%) patients were eligible for S-ICDs: 11 (55%) patients on only 1 vector and 6 (30%) patients on 2 or 3 vectors. Patients who were eligible on 2–3 vectors had narrower paced QRS than patients who were not eligible or were eligible on only one vector (133 ± 18 ms vs 167 ± 17 ms, p = 0.007). If necessary, S-ICD implantation could be considered in most patients with CRT.
Keywords:Subcutaneous implantable cardioverter defibrillator  Cardiac resynchronization therapy  ECG screening
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