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The role of trigger factors in the occurrence of appropriate ICD shocks and their clinical and prognostic implications

机译:The role of trigger factors in the occurrence of appropriate ICD shocks and their clinical and prognostic implications

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Abstract Background The role of triggers in the occurrence of appropriate implantable cardioverter‐defibrillator (ICD) shocks due to ventricular tachyarrhythmias is not well known. The aim of the study was to assess the prevalence of trigger factors in appropriate ICD shocks and to analyze their prognostic impact on clinical outcome. Methods A total of 710 consecutive patients of a prospective single‐center ICD‐registry who received a first appropriate ICD shock between 2000 and 9/2021 were analyzed. Results In 35% of ICD patients with first ICD shock, at least one of the following triggers was found: Ischemia (22%), Compliance (9%), Decompensation (38%), Stress (12%), Technical (5%), Electrolyte/endocrinological disorder (22%) and Medication side effects (4%). The trigger factors can be summarized under the acronym ICD‐STEMi. The prospective application of the ICD‐STEMi scheme increased the rate of identified triggers from 32% to 56% (p?

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