Desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: Experiencia del Centro Nacional de Arritmias

Background: Implantable defibrillators are the most effective means to prevent sudden death in patients with malignant ventricular tachyarrhythmias. The availability of this type of devices is limited in Chile, due to their high price. Aim: To report the first patients treated with implantable defib...

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Autores principales:	Asenjo G,R, Oyarzún F,R, González L,M, Morales V,P, Zamorano G,J, Brunet L,L, Morris C,R, Ortiz O,M
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 1998
Materias:	Arrhythmia Tachycardia, ventricular Ventricular fibrillation Defibrillators, implantable
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871998000700008
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spelling	oai:scielo:S0034-988719980007000081999-06-15Desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: Experiencia del Centro Nacional de ArritmiasAsenjo G,ROyarzún F,RGonzález L,MMorales V,PZamorano G,JBrunet L,LMorris C,ROrtiz O,M Arrhythmia Tachycardia, ventricular Ventricular fibrillation Defibrillators, implantable Background: Implantable defibrillators are the most effective means to prevent sudden death in patients with malignant ventricular tachyarrhythmias. The availability of this type of devices is limited in Chile, due to their high price. Aim: To report the first patients treated with implantable defibrillators in our hospital. Patients and methods: Nine males and one female aged 13 to 65 years old are reported. Three presented with ventricular fibrillation (presenting out of the hospital in three) and the rest had ventricular tachycardia resistant to drugs or radiofrequency ablation. Results: All implants were performed using intracardiac electrodes. The generator was implanted in the pectoral region in nine and in the abdomen in one. A successful defibrillation was obtained with less than 15 J in four patients, with 20 J in three and with 24 J in three. There were no complications during the procedure. After a 12 months follow up, four patients have been treated by the implantable device. One of these subjects had a ventricular fibrillation in two occasions. One patient died of a bronchopneumonia two years after the implant. Conclusions: Implantable defibrillators are an effective therapy for the treatment of malignant ventricular arrhythmias with a high risk of sudden death.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.126 n.7 19981998-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871998000700008es10.4067/S0034-98871998000700008
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Arrhythmia Tachycardia, ventricular Ventricular fibrillation Defibrillators, implantable
spellingShingle	Arrhythmia Tachycardia, ventricular Ventricular fibrillation Defibrillators, implantable Asenjo G,R Oyarzún F,R González L,M Morales V,P Zamorano G,J Brunet L,L Morris C,R Ortiz O,M Desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: Experiencia del Centro Nacional de Arritmias
description	Background: Implantable defibrillators are the most effective means to prevent sudden death in patients with malignant ventricular tachyarrhythmias. The availability of this type of devices is limited in Chile, due to their high price. Aim: To report the first patients treated with implantable defibrillators in our hospital. Patients and methods: Nine males and one female aged 13 to 65 years old are reported. Three presented with ventricular fibrillation (presenting out of the hospital in three) and the rest had ventricular tachycardia resistant to drugs or radiofrequency ablation. Results: All implants were performed using intracardiac electrodes. The generator was implanted in the pectoral region in nine and in the abdomen in one. A successful defibrillation was obtained with less than 15 J in four patients, with 20 J in three and with 24 J in three. There were no complications during the procedure. After a 12 months follow up, four patients have been treated by the implantable device. One of these subjects had a ventricular fibrillation in two occasions. One patient died of a bronchopneumonia two years after the implant. Conclusions: Implantable defibrillators are an effective therapy for the treatment of malignant ventricular arrhythmias with a high risk of sudden death.
author	Asenjo G,R Oyarzún F,R González L,M Morales V,P Zamorano G,J Brunet L,L Morris C,R Ortiz O,M
author_facet	Asenjo G,R Oyarzún F,R González L,M Morales V,P Zamorano G,J Brunet L,L Morris C,R Ortiz O,M
author_sort	Asenjo G,R
title	Desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: Experiencia del Centro Nacional de Arritmias
title_short	Desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: Experiencia del Centro Nacional de Arritmias
title_full	Desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: Experiencia del Centro Nacional de Arritmias
title_fullStr	Desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: Experiencia del Centro Nacional de Arritmias
title_full_unstemmed	Desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: Experiencia del Centro Nacional de Arritmias
title_sort	desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: experiencia del centro nacional de arritmias
publisher	Sociedad Médica de Santiago
publishDate	1998
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98871998000700008
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Desfibrilador implantable en el manejo de taquiarritmias ventriculares malignas: Experiencia del Centro Nacional de Arritmias

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