Simpler is Better? Full Circle in Our Attempt to Decrease Cardioverter Defibrillator Inappropriate Shocks in the Young

摘要

The important issue of inappropriate cardioverter defibrillator (ICD) discharges has been addressed in our pediatric and young adult patients since the initial applications of this life saving therapy in this population nearly 20 years ago.1'2 Eleven years after the first ICD published series in young patients, Love et al. reported from Children's Hospital, Boston, that of their 8 of 54 (14.8%) single-chamber ICD patients (median age 16.5 years, between 1992 andl999) with inappropriate ICD discharges, 7 were successfully managed by programming and/or better medical control of supraven-tricular/sinus tachycardia (one managed with dual-chamber ICD).3 In an accompanying editorial, Etheridge praised and emphasized the".. .simple measures..." by which successful management and prevention of inappropriate ICD discharges was accomplished#