Prevalence and Predictors of Electrical Storm in Patients With Implantable Cardioverter-Defibrillator

Identifying predictors of electrical storm in patients with implantable cardioverter-defibrillators (ICDs) could help identify those at risk and reduce the incidence of this emergency situation, which has a detrimental effect on mortality and morbidity in patients with ICDs. This retrospective study...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of cardiology 2006-02, Vol.97 (3), p.389-392
Main Authors: Arya, Arash, Haghjoo, Majid, Dehghani, Mohammad Reza, Fazelifar, Amir Farjam, Nikoo, Mohammad-Hosein, Bagherzadeh, Ataollah, Sadr-Ameli, Mohammad Ali
Format: Article
Language:English
Subjects:
Adult
Aged
Arrhythmias, Cardiac - epidemiology
Arrhythmias, Cardiac - etiology
Biological and medical sciences
Cardiac arrhythmia
Cardiology
Cardiology. Vascular system
Defibrillators
Defibrillators, Implantable - adverse effects
Female
Heart Diseases - therapy
Humans
Iran - epidemiology
Male
Medical research
Medical sciences
Middle Aged
Prevalence
Retrospective Studies
Risk
Transplants & implants
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c420t-af7a013dec88fa329a8ef82080a682d7431224fb998e928fbd0e7dde956140ba3
cites cdi_FETCH-LOGICAL-c420t-af7a013dec88fa329a8ef82080a682d7431224fb998e928fbd0e7dde956140ba3
container_end_page 392
container_issue 3
container_start_page 389
container_title The American journal of cardiology
container_volume 97
creator Arya, Arash
Haghjoo, Majid
Dehghani, Mohammad Reza
Fazelifar, Amir Farjam
Nikoo, Mohammad-Hosein
Bagherzadeh, Ataollah
Sadr-Ameli, Mohammad Ali
description Identifying predictors of electrical storm in patients with implantable cardioverter-defibrillators (ICDs) could help identify those at risk and reduce the incidence of this emergency situation, which has a detrimental effect on mortality and morbidity in patients with ICDs. This retrospective study sought to determine the prevalence and predictors of electrical storm in patients with ICDs. One hundred sixty-two patients (126 men; mean age 58 ± 13 years) who received ICDs from January 2001 to January 2005 were included in the study. Clinical, electrocardiographic, and ICD stored data and electrograms were collected and analyzed. Twenty-two patients (14%) developed electrical storm during a mean follow-up of 14.3 ± 10 months. Using Cox multiple regression analysis, it was found that an ejection fraction
doi_str_mv 10.1016/j.amjcard.2005.08.058
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70712896</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S000291490501828X</els_id><sourcerecordid>991685341</sourcerecordid><originalsourceid>FETCH-LOGICAL-c420t-af7a013dec88fa329a8ef82080a682d7431224fb998e928fbd0e7dde956140ba3</originalsourceid><addsrcrecordid>eNqFkU2LFDEQhoMo7rj6E5Qg6K3bSvorOYmMqy4suKDiMVQnFUzTH2PSM-C_N8M0LHjxFCo8Vby8D2MvBZQCRPtuKHEaLEZXSoCmBFVCox6xnVCdLoQW1WO2AwBZaFHrK_YspSGPQjTtU3Yl2rqWNcgdo_tIJxxptsRxdjyPLth1iYkvnt-MZNcYLI78W_6beJj5Pa6B5jXxn2H9xW-nw4jziv1IfJ_ThOVEcaVYfCQf-hjGEfPic_bE45joxfZesx-fbr7vvxR3Xz_f7j_cFbaWsBboOwRRObJKeaykRkVeSVCArZKuqyshZe17rRVpqXzvgDrnSDetqKHH6pq9vdw9xOX3kdJqppAs5RAzLcdkOuiEVLrN4Ot_wGE5xjlnM7KCSrVKyww1F8jGJaVI3hximDD-MQLMWYIZzCbBnCUYUCZLyHuvtuPHfiL3sLW1noE3G4Apd-sjzjakB66rdVc155TvLxzlzk6Bokk2nFW5ELMY45bwnyh_AXVRqFA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>230386892</pqid></control><display><type>article</type><title>Prevalence and Predictors of Electrical Storm in Patients With Implantable Cardioverter-Defibrillator</title><source>ScienceDirect Journals</source><creator>Arya, Arash ; Haghjoo, Majid ; Dehghani, Mohammad Reza ; Fazelifar, Amir Farjam ; Nikoo, Mohammad-Hosein ; Bagherzadeh, Ataollah ; Sadr-Ameli, Mohammad Ali</creator><creatorcontrib>Arya, Arash ; Haghjoo, Majid ; Dehghani, Mohammad Reza ; Fazelifar, Amir Farjam ; Nikoo, Mohammad-Hosein ; Bagherzadeh, Ataollah ; Sadr-Ameli, Mohammad Ali</creatorcontrib><description>Identifying predictors of electrical storm in patients with implantable cardioverter-defibrillators (ICDs) could help identify those at risk and reduce the incidence of this emergency situation, which has a detrimental effect on mortality and morbidity in patients with ICDs. This retrospective study sought to determine the prevalence and predictors of electrical storm in patients with ICDs. One hundred sixty-two patients (126 men; mean age 58 ± 13 years) who received ICDs from January 2001 to January 2005 were included in the study. Clinical, electrocardiographic, and ICD stored data and electrograms were collected and analyzed. Twenty-two patients (14%) developed electrical storm during a mean follow-up of 14.3 ± 10 months. Using Cox multiple regression analysis, it was found that an ejection fraction &lt;25% (p = 0.007), QRS width ≥120 ms (p = 0.002), and a lack of adjunctive angiotensin-converting enzyme inhibitor and β-blocker therapy (both p &lt;0.001) were correlated with a greater probability of electrical storm. Adjunctive amiodarone and digoxin therapy, indication of ICD implantation, and age were not correlated with the occurrence of electrical storm during follow-up (all p = NS). In conclusion, electrical storm is not uncommon in patients with ICDs. Optimum medical therapy with β blockers and angiotensin-converting enzyme inhibitors could reduce the occurrence of electrical storm, and this especially should be considered in those at greater risk for this complication (i.e., those with left ventricular ejection fractions &lt;25% and QRS widths ≥120 ms).</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2005.08.058</identifier><identifier>PMID: 16442402</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Arrhythmias, Cardiac - epidemiology ; Arrhythmias, Cardiac - etiology ; Biological and medical sciences ; Cardiac arrhythmia ; Cardiology ; Cardiology. Vascular system ; Defibrillators ; Defibrillators, Implantable - adverse effects ; Female ; Heart Diseases - therapy ; Humans ; Iran - epidemiology ; Male ; Medical research ; Medical sciences ; Middle Aged ; Prevalence ; Retrospective Studies ; Risk ; Transplants &amp; implants</subject><ispartof>The American journal of cardiology, 2006-02, Vol.97 (3), p.389-392</ispartof><rights>2006 Elsevier Inc.</rights><rights>2006 INIST-CNRS</rights><rights>Copyright Elsevier Sequoia S.A. Feb 1, 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-af7a013dec88fa329a8ef82080a682d7431224fb998e928fbd0e7dde956140ba3</citedby><cites>FETCH-LOGICAL-c420t-af7a013dec88fa329a8ef82080a682d7431224fb998e928fbd0e7dde956140ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27911,27912</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17497356$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16442402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arya, Arash</creatorcontrib><creatorcontrib>Haghjoo, Majid</creatorcontrib><creatorcontrib>Dehghani, Mohammad Reza</creatorcontrib><creatorcontrib>Fazelifar, Amir Farjam</creatorcontrib><creatorcontrib>Nikoo, Mohammad-Hosein</creatorcontrib><creatorcontrib>Bagherzadeh, Ataollah</creatorcontrib><creatorcontrib>Sadr-Ameli, Mohammad Ali</creatorcontrib><title>Prevalence and Predictors of Electrical Storm in Patients With Implantable Cardioverter-Defibrillator</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Identifying predictors of electrical storm in patients with implantable cardioverter-defibrillators (ICDs) could help identify those at risk and reduce the incidence of this emergency situation, which has a detrimental effect on mortality and morbidity in patients with ICDs. This retrospective study sought to determine the prevalence and predictors of electrical storm in patients with ICDs. One hundred sixty-two patients (126 men; mean age 58 ± 13 years) who received ICDs from January 2001 to January 2005 were included in the study. Clinical, electrocardiographic, and ICD stored data and electrograms were collected and analyzed. Twenty-two patients (14%) developed electrical storm during a mean follow-up of 14.3 ± 10 months. Using Cox multiple regression analysis, it was found that an ejection fraction &lt;25% (p = 0.007), QRS width ≥120 ms (p = 0.002), and a lack of adjunctive angiotensin-converting enzyme inhibitor and β-blocker therapy (both p &lt;0.001) were correlated with a greater probability of electrical storm. Adjunctive amiodarone and digoxin therapy, indication of ICD implantation, and age were not correlated with the occurrence of electrical storm during follow-up (all p = NS). In conclusion, electrical storm is not uncommon in patients with ICDs. Optimum medical therapy with β blockers and angiotensin-converting enzyme inhibitors could reduce the occurrence of electrical storm, and this especially should be considered in those at greater risk for this complication (i.e., those with left ventricular ejection fractions &lt;25% and QRS widths ≥120 ms).</description><subject>Adult</subject><subject>Aged</subject><subject>Arrhythmias, Cardiac - epidemiology</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Biological and medical sciences</subject><subject>Cardiac arrhythmia</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Defibrillators</subject><subject>Defibrillators, Implantable - adverse effects</subject><subject>Female</subject><subject>Heart Diseases - therapy</subject><subject>Humans</subject><subject>Iran - epidemiology</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Transplants &amp; implants</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNqFkU2LFDEQhoMo7rj6E5Qg6K3bSvorOYmMqy4suKDiMVQnFUzTH2PSM-C_N8M0LHjxFCo8Vby8D2MvBZQCRPtuKHEaLEZXSoCmBFVCox6xnVCdLoQW1WO2AwBZaFHrK_YspSGPQjTtU3Yl2rqWNcgdo_tIJxxptsRxdjyPLth1iYkvnt-MZNcYLI78W_6beJj5Pa6B5jXxn2H9xW-nw4jziv1IfJ_ThOVEcaVYfCQf-hjGEfPic_bE45joxfZesx-fbr7vvxR3Xz_f7j_cFbaWsBboOwRRObJKeaykRkVeSVCArZKuqyshZe17rRVpqXzvgDrnSDetqKHH6pq9vdw9xOX3kdJqppAs5RAzLcdkOuiEVLrN4Ot_wGE5xjlnM7KCSrVKyww1F8jGJaVI3hximDD-MQLMWYIZzCbBnCUYUCZLyHuvtuPHfiL3sLW1noE3G4Apd-sjzjakB66rdVc155TvLxzlzk6Bokk2nFW5ELMY45bwnyh_AXVRqFA</recordid><startdate>20060201</startdate><enddate>20060201</enddate><creator>Arya, Arash</creator><creator>Haghjoo, Majid</creator><creator>Dehghani, Mohammad Reza</creator><creator>Fazelifar, Amir Farjam</creator><creator>Nikoo, Mohammad-Hosein</creator><creator>Bagherzadeh, Ataollah</creator><creator>Sadr-Ameli, Mohammad Ali</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20060201</creationdate><title>Prevalence and Predictors of Electrical Storm in Patients With Implantable Cardioverter-Defibrillator</title><author>Arya, Arash ; Haghjoo, Majid ; Dehghani, Mohammad Reza ; Fazelifar, Amir Farjam ; Nikoo, Mohammad-Hosein ; Bagherzadeh, Ataollah ; Sadr-Ameli, Mohammad Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-af7a013dec88fa329a8ef82080a682d7431224fb998e928fbd0e7dde956140ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arrhythmias, Cardiac - epidemiology</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Biological and medical sciences</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology</topic><topic>Cardiology. Vascular system</topic><topic>Defibrillators</topic><topic>Defibrillators, Implantable - adverse effects</topic><topic>Female</topic><topic>Heart Diseases - therapy</topic><topic>Humans</topic><topic>Iran - epidemiology</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Transplants &amp; implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arya, Arash</creatorcontrib><creatorcontrib>Haghjoo, Majid</creatorcontrib><creatorcontrib>Dehghani, Mohammad Reza</creatorcontrib><creatorcontrib>Fazelifar, Amir Farjam</creatorcontrib><creatorcontrib>Nikoo, Mohammad-Hosein</creatorcontrib><creatorcontrib>Bagherzadeh, Ataollah</creatorcontrib><creatorcontrib>Sadr-Ameli, Mohammad Ali</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arya, Arash</au><au>Haghjoo, Majid</au><au>Dehghani, Mohammad Reza</au><au>Fazelifar, Amir Farjam</au><au>Nikoo, Mohammad-Hosein</au><au>Bagherzadeh, Ataollah</au><au>Sadr-Ameli, Mohammad Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and Predictors of Electrical Storm in Patients With Implantable Cardioverter-Defibrillator</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2006-02-01</date><risdate>2006</risdate><volume>97</volume><issue>3</issue><spage>389</spage><epage>392</epage><pages>389-392</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Identifying predictors of electrical storm in patients with implantable cardioverter-defibrillators (ICDs) could help identify those at risk and reduce the incidence of this emergency situation, which has a detrimental effect on mortality and morbidity in patients with ICDs. This retrospective study sought to determine the prevalence and predictors of electrical storm in patients with ICDs. One hundred sixty-two patients (126 men; mean age 58 ± 13 years) who received ICDs from January 2001 to January 2005 were included in the study. Clinical, electrocardiographic, and ICD stored data and electrograms were collected and analyzed. Twenty-two patients (14%) developed electrical storm during a mean follow-up of 14.3 ± 10 months. Using Cox multiple regression analysis, it was found that an ejection fraction &lt;25% (p = 0.007), QRS width ≥120 ms (p = 0.002), and a lack of adjunctive angiotensin-converting enzyme inhibitor and β-blocker therapy (both p &lt;0.001) were correlated with a greater probability of electrical storm. Adjunctive amiodarone and digoxin therapy, indication of ICD implantation, and age were not correlated with the occurrence of electrical storm during follow-up (all p = NS). In conclusion, electrical storm is not uncommon in patients with ICDs. Optimum medical therapy with β blockers and angiotensin-converting enzyme inhibitors could reduce the occurrence of electrical storm, and this especially should be considered in those at greater risk for this complication (i.e., those with left ventricular ejection fractions &lt;25% and QRS widths ≥120 ms).</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>16442402</pmid><doi>10.1016/j.amjcard.2005.08.058</doi><tpages>4</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0002-9149
ispartof The American journal of cardiology, 2006-02, Vol.97 (3), p.389-392
issn 0002-9149
1879-1913
language eng
recordid cdi_proquest_miscellaneous_70712896
source ScienceDirect Journals
subjects Adult
Aged
Arrhythmias, Cardiac - epidemiology
Arrhythmias, Cardiac - etiology
Biological and medical sciences
Cardiac arrhythmia
Cardiology
Cardiology. Vascular system
Defibrillators
Defibrillators, Implantable - adverse effects
Female
Heart Diseases - therapy
Humans
Iran - epidemiology
Male
Medical research
Medical sciences
Middle Aged
Prevalence
Retrospective Studies
Risk
Transplants & implants
title Prevalence and Predictors of Electrical Storm in Patients With Implantable Cardioverter-Defibrillator
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T01%3A28%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20and%20Predictors%20of%20Electrical%20Storm%20in%20Patients%20With%20Implantable%20Cardioverter-Defibrillator&rft.jtitle=The%20American%20journal%20of%20cardiology&rft.au=Arya,%20Arash&rft.date=2006-02-01&rft.volume=97&rft.issue=3&rft.spage=389&rft.epage=392&rft.pages=389-392&rft.issn=0002-9149&rft.eissn=1879-1913&rft.coden=AJCDAG&rft_id=info:doi/10.1016/j.amjcard.2005.08.058&rft_dat=%3Cproquest_cross%3E991685341%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c420t-af7a013dec88fa329a8ef82080a682d7431224fb998e928fbd0e7dde956140ba3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=230386892&rft_id=info:pmid/16442402&rfr_iscdi=true