Korean Circ J.  1999 Oct;29(10):1138-1143. 10.4070/kcj.1999.29.10.1138.

Implantation of ICD in a Ventricular Fibrillation Patient with a High Defibrillation Threshold

Abstract

ICD (implantable cardioverter-defibrillator) has been recently accepted as the most effective treatment for patients with medically refractory or life threatening ventricular tachycardia or ventricular fibrillation. Determination of the DFT (defibrillation threshold) is important in the implantation of ICD. DFT is the lowest shock energy that successfully terminates ventricular fibrillation. Preoperative amiodarone use, increased body size, and left ventricular dilatation are associated with high DFT. Recently, we experienced a 66 year-old male patient presenting with syncope due to idiopathic ventricular fibrillation in whom DFT was high and unstable, probably due to preoperative use of amiodarone.

Keyword

ICD (implantable cardioverter defibrillator); DFT (defibrillation threshold)

MeSH Terms

Aged
Amiodarone
Body Size
Dilatation
Humans
Male
Shock
Syncope
Tachycardia, Ventricular
Ventricular Fibrillation*
Amiodarone
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