ArticleIndian pacing and electrophysiology journal2010
High defibrillation threshold: the science, signs and solutions.
Article in Indian pacing and electrophysiology journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Wolf Creek XVIII Part 3: Innovations in Defibrillation Science.Resuscitation plus · 2026Review
- Alterations in implantable cardioverter defibrillator lead parameters following left ventricular assist device implantation.JHLT open · 2025Article
- Predicting the Higher Energy Need for Effective Defibrillation Using Machine Learning Based on an Animal Model.Journal of clinical medicine · 2025Article
- Elective Generator Replacement of the Subcutaneous Implantable Defibrillator-Always a Simple Pit Stop?Journal of cardiovascular electrophysiology · 2025Article
- Shock vector modulation via axillary vein coil in a right-sided implantable cardioverter-defibrillator.HeartRhythm case reports · 2023Article
- Comment on "Sedative and Analgesic Effects of Entonox Gas Compared with Midazolam and Fentanyl in Synchronized Cardioversion".Critical care research and practice · 2016Article
- A Novel Solution for the High Defibrillation Threshold in Patients with a DF-4 Lead: Adding a High Voltage Adaptor/Splitter.Indian pacing and electrophysiology journal · 2014Article
- Traumatic Tension Pneumothorax as a Cause of ICD Failure: A Case Report and Review of the Literature.Case reports in cardiology · 2014Article
- Concept of defibrillation vector in the management of high defibrillation threshold.World journal of cardiology · 2013Article
- Effect of substance abuse on defibrillation threshold in patients with implantable cardioverter-defibrillator.Pacing and clinical electrophysiology : PACE · 2011Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Defibrillation threshold (DFT) testing has traditionally been an integral part of implantable cardioverter defibrillator (ICD) implantation. With the increasing number of patients receiving ICDs, physicians are encountering high DFT more often than before. Tackling the problem of high DFT, warrants an in-depth understanding of the science of defibrillation including the key electrophysiological concepts and the underlying molecular mechanisms. Numerous factors have been implicated in the causation of high DFT. Due consideration to the past medical history, pharmacotherapy, laboratory data and cardiac imaging, help in assessing the pre-procedural risk for occurrence of high DFT. Drugs, procedural changes, type and location of ICD lead system are some of the key players in predicting DFT during implantation. In the event of encountering an unacceptably high DFT, we recommend to follow a step-wise algorithm. Ruling out procedural complications like pneumothorax and tamponade is imperative before embarking on a search for potentially reversible clinical or metabolic derangements. Finally, if these attempts fail, the electrophysiologist must choose from a wide range of options for device adjustment and system modification. Although this review article is meant to be a treatise on the science, signs and solutions for high DFT, it is bound by limitations of space and scope of the article.
Indexed as
Identifiers
20084193PMC2803603What OpenQuestion holds
Registered trials
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