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KMID : 0368119990290101138
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Korean Circulation Journal
1999 Volume.29 No. 10 p.1138 ~ p.1143
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Implantation of ICD in a Ventricular Fibrillation Patient with a High Defibrillation Threshold
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송창석/Chang Suk Song
김형주/박현용/박희백/장영광/차태준/주승재/이재우/Hyung Joo Kim/Hyun Yong Park/Hee Bag Park/Young Kwang Jang/Tae Joon Cha/Seong Jae Joo/Jae Woo Lee
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Abstract
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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 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 experience 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.
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KEYWORD
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