First inappropriate implantable cardioverter defibrillator therapy is often due to inaccurate device programming: analysis of the French OPERA registry.
Identifieur interne : 000268 ( PubMed/Curation ); précédent : 000267; suivant : 000269First inappropriate implantable cardioverter defibrillator therapy is often due to inaccurate device programming: analysis of the French OPERA registry.
Auteurs : Antoine Leenhardt [France] ; Pascal Defaye ; Elisabeth Mouton ; Marc Delay ; Nicolas Delarche ; Jean-Marc Dupuis ; Olivier Bizeau ; Philippe Mabo ; Saida Cheggour ; Dominique BabutySource :
- Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology ; 2012.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Aged, Algorithms, Cardiac Resynchronization Therapy (methods), Defibrillators, Implantable (adverse effects), Defibrillators, Implantable (statistics & numerical data), Female, France, Humans, Incidence, Male, Middle Aged, Prosthesis Failure (adverse effects), Registries, Tachycardia, Supraventricular (therapy), Tachycardia, Ventricular (therapy), Treatment Outcome.
- MESH :
- geographic : France.
- adverse effects : Defibrillators, Implantable, Prosthesis Failure.
- methods : Cardiac Resynchronization Therapy.
- statistics & numerical data : Defibrillators, Implantable.
- therapy : Tachycardia, Supraventricular, Tachycardia, Ventricular.
- Aged, Algorithms, Female, Humans, Incidence, Male, Middle Aged, Registries, Treatment Outcome.
Abstract
Inappropriate therapy delivered by implantable cardioverter defibrillators (ICDs) remains a challenge. The OPERA registry measured the times to, and studied the determinants of, first appropriate (FAT) and inappropriate (FIT) therapies delivered by single-, dual- and triple-chamber [cardiac resynchronization therapy defibrillator (CRT-D)] ICD.
DOI: 10.1093/europace/eus144
PubMed: 22547767
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pubmed:22547767Le document en format XML
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last="Defaye">Pascal Defaye</name></author><author><name sortKey="Mouton, Elisabeth" sort="Mouton, Elisabeth" uniqKey="Mouton E" first="Elisabeth" last="Mouton">Elisabeth Mouton</name></author><author><name sortKey="Delay, Marc" sort="Delay, Marc" uniqKey="Delay M" first="Marc" last="Delay">Marc Delay</name></author><author><name sortKey="Delarche, Nicolas" sort="Delarche, Nicolas" uniqKey="Delarche N" first="Nicolas" last="Delarche">Nicolas Delarche</name></author><author><name sortKey="Dupuis, Jean Marc" sort="Dupuis, Jean Marc" uniqKey="Dupuis J" first="Jean-Marc" last="Dupuis">Jean-Marc Dupuis</name></author><author><name sortKey="Bizeau, Olivier" sort="Bizeau, Olivier" uniqKey="Bizeau O" first="Olivier" last="Bizeau">Olivier Bizeau</name></author><author><name sortKey="Mabo, Philippe" sort="Mabo, Philippe" uniqKey="Mabo P" first="Philippe" last="Mabo">Philippe Mabo</name></author><author><name sortKey="Cheggour, Saida" sort="Cheggour, Saida" uniqKey="Cheggour S" first="Saida" last="Cheggour">Saida Cheggour</name></author><author><name sortKey="Babuty, Dominique" sort="Babuty, Dominique" uniqKey="Babuty D" first="Dominique" last="Babuty">Dominique Babuty</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="doi">10.1093/europace/eus144</idno><idno type="RBID">pubmed:22547767</idno><idno type="pmid">22547767</idno><idno type="wicri:Area/PubMed/Corpus">000268</idno><idno type="wicri:Area/PubMed/Curation">000268</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">First inappropriate implantable cardioverter defibrillator therapy is often due to inaccurate device programming: analysis of the French OPERA registry.</title><author><name sortKey="Leenhardt, Antoine" sort="Leenhardt, Antoine" uniqKey="Leenhardt A" first="Antoine" last="Leenhardt">Antoine Leenhardt</name><affiliation wicri:level="1"><nlm:affiliation>AP-HP, Hôpital Bichat, Service de Cardiologie et Centre de Référence des Maladies Cardiaques Héréditaires, Université Paris Diderot, Sorbonne Paris Cité, Paris, France. antoine.leenhardt@bch.aphp.fr</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>AP-HP, Hôpital Bichat, Service de Cardiologie et Centre de Référence des Maladies Cardiaques Héréditaires, Université Paris Diderot, Sorbonne Paris Cité, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Defaye, Pascal" sort="Defaye, Pascal" uniqKey="Defaye P" first="Pascal" last="Defaye">Pascal Defaye</name></author><author><name sortKey="Mouton, Elisabeth" sort="Mouton, Elisabeth" uniqKey="Mouton E" first="Elisabeth" last="Mouton">Elisabeth Mouton</name></author><author><name sortKey="Delay, Marc" sort="Delay, Marc" uniqKey="Delay M" first="Marc" last="Delay">Marc Delay</name></author><author><name sortKey="Delarche, Nicolas" sort="Delarche, Nicolas" uniqKey="Delarche N" first="Nicolas" last="Delarche">Nicolas Delarche</name></author><author><name sortKey="Dupuis, Jean Marc" sort="Dupuis, Jean Marc" uniqKey="Dupuis J" first="Jean-Marc" last="Dupuis">Jean-Marc Dupuis</name></author><author><name sortKey="Bizeau, Olivier" sort="Bizeau, Olivier" uniqKey="Bizeau O" first="Olivier" last="Bizeau">Olivier Bizeau</name></author><author><name sortKey="Mabo, Philippe" sort="Mabo, Philippe" uniqKey="Mabo P" first="Philippe" last="Mabo">Philippe Mabo</name></author><author><name sortKey="Cheggour, Saida" sort="Cheggour, Saida" uniqKey="Cheggour S" first="Saida" last="Cheggour">Saida Cheggour</name></author><author><name sortKey="Babuty, Dominique" sort="Babuty, Dominique" uniqKey="Babuty D" first="Dominique" last="Babuty">Dominique Babuty</name></author></analytic><series><title level="j">Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</title><idno type="e-ISSN">1532-2092</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Algorithms</term><term>Cardiac Resynchronization Therapy (methods)</term><term>Defibrillators, Implantable (adverse effects)</term><term>Defibrillators, Implantable (statistics & numerical data)</term><term>Female</term><term>France</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Prosthesis Failure (adverse effects)</term><term>Registries</term><term>Tachycardia, Supraventricular (therapy)</term><term>Tachycardia, Ventricular (therapy)</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Defibrillators, Implantable</term><term>Prosthesis Failure</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cardiac Resynchronization Therapy</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Defibrillators, Implantable</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Tachycardia, Supraventricular</term><term>Tachycardia, Ventricular</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Algorithms</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Registries</term><term>Treatment Outcome</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Inappropriate therapy delivered by implantable cardioverter defibrillators (ICDs) remains a challenge. The OPERA registry measured the times to, and studied the determinants of, first appropriate (FAT) and inappropriate (FIT) therapies delivered by single-, dual- and triple-chamber [cardiac resynchronization therapy defibrillator (CRT-D)] ICD.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">22547767</PMID><DateCreated><Year>2012</Year><Month>09</Month><Day>27</Day></DateCreated><DateCompleted><Year>2013</Year><Month>03</Month><Day>25</Day></DateCompleted><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2092</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><Issue>10</Issue><PubDate><Year>2012</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</Title><ISOAbbreviation>Europace</ISOAbbreviation></Journal><ArticleTitle>First inappropriate implantable cardioverter defibrillator therapy is often due to inaccurate device programming: analysis of the French OPERA registry.</ArticleTitle><Pagination><MedlinePgn>1465-74</MedlinePgn></Pagination><Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">Inappropriate therapy delivered by implantable cardioverter defibrillators (ICDs) remains a challenge. The OPERA registry measured the times to, and studied the determinants of, first appropriate (FAT) and inappropriate (FIT) therapies delivered by single-, dual- and triple-chamber [cardiac resynchronization therapy defibrillator (CRT-D)] ICD.</AbstractText><AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">We entered 636 patients (mean age = 62.0 ± 13.5 years; 88% men) in the registry, of whom 251 received single-, 238 dual-, and 147 triple-chamber ICD, for primary (30.5%) or secondary (69.5%) indications. We measured times to FAT and FIT as a function of multiple clinical characteristics, examined the effects of various algorithm components on the likelihood of FAT and FIT delivery, and searched for predictors of FAT and FIT. Over 22.8 ± 8.8 months of observation, 184 patients (28.9%) received FAT and 70 (11.0%) received FIT. Ventricular tachycardia (VT) was the trigger of 88% of FAT, and supraventricular tachycardia was the trigger of 91% of FIT. The median times to FIT (90 days; range 49-258) and FAT (171 days; 50-363) were similar. The rate of FAT was higher (P <0.001) in patients treated for secondary than primary indications, while that of FIT were similar in both groups. Out of 57 analysable FIT, 27 (47.4%) could have been prevented by fine tuning the device programming like the sustained rate duration or the VT discrimination algorithm.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">First inappropriate therapy occurred in 11% of 636 ICD recipients followed for ∼2 years. Nearly 50% of FIT could have been prevented by improving device programming.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Leenhardt</LastName><ForeName>Antoine</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>AP-HP, Hôpital Bichat, Service de Cardiologie et Centre de Référence des Maladies Cardiaques Héréditaires, Université Paris Diderot, Sorbonne Paris Cité, Paris, France. antoine.leenhardt@bch.aphp.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Defaye</LastName><ForeName>Pascal</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Mouton</LastName><ForeName>Elisabeth</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Delay</LastName><ForeName>Marc</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Delarche</LastName><ForeName>Nicolas</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Dupuis</LastName><ForeName>Jean-Marc</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Bizeau</LastName><ForeName>Olivier</ForeName><Initials>O</Initials></Author><Author ValidYN="Y"><LastName>Mabo</LastName><ForeName>Philippe</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Cheggour</LastName><ForeName>Saida</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Babuty</LastName><ForeName>Dominique</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><CollectiveName>OPERA Registry Investigators</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate 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Marec</LastName><ForeName>Hervé</ForeName><Initials>H</Initials></Investigator><Investigator ValidYN="Y"><LastName>Bizeau</LastName><ForeName>Olivier</ForeName><Initials>O</Initials></Investigator><Investigator ValidYN="Y"><LastName>Extramania</LastName><ForeName>Fabrice</ForeName><Initials>F</Initials></Investigator><Investigator ValidYN="Y"><LastName>Milliez</LastName><ForeName>Paul</ForeName><Initials>P</Initials></Investigator><Investigator ValidYN="Y"><LastName>Thomas</LastName><ForeName>Olivier</ForeName><Initials>O</Initials></Investigator><Investigator ValidYN="Y"><LastName>Claude</LastName><ForeName>Blaise</ForeName><Initials>B</Initials></Investigator><Investigator ValidYN="Y"><LastName>Blanc</LastName><ForeName>Jean-Jacques</ForeName><Initials>JJ</Initials></Investigator><Investigator ValidYN="Y"><LastName>Mansourati</LastName><ForeName>Jacques</ForeName><Initials>J</Initials></Investigator><Investigator 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