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Prospective multicenter randomized trial of fast ventricular tachycardia termination by prolonged versus conventional anti-tachyarrhythmia burst pacing in implantable cardioverter-defibrillator patients-Atp DeliVery for pAiNless ICD thErapy (ADVANCE-D) Trial results

Purpose The purpose of the trial was to quantify and compare the efficacy of two different sequences of burst anti-tachycardia pacing (ATP) strategies for the termination of fast ventricular tachycardia. Methods The trial was prospective, multicenter, parallel and randomized, enrolling patients with...

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Published in:Journal of interventional cardiac electrophysiology 2010-03, Vol.27 (2), p.127-135
Main Authors: Santini, Massimo, Lunati, Maurizio, Defaye, Pascal, Mermi, Johann, Proclemer, Alessandro, del Castillo-Arroys, Silvia, Molon, Giulio, Santi, Elisabetta, De Santo, Tiziana, Navarro, Xavier, Kloppe, Axel
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cited_by cdi_FETCH-LOGICAL-c534t-ee52a006c1ec2c39e168bac6470eaf51f39588d20621a3f77e35b7d19dfa48c23
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container_title Journal of interventional cardiac electrophysiology
container_volume 27
creator Santini, Massimo
Lunati, Maurizio
Defaye, Pascal
Mermi, Johann
Proclemer, Alessandro
del Castillo-Arroys, Silvia
Molon, Giulio
Santi, Elisabetta
De Santo, Tiziana
Navarro, Xavier
Kloppe, Axel
description Purpose The purpose of the trial was to quantify and compare the efficacy of two different sequences of burst anti-tachycardia pacing (ATP) strategies for the termination of fast ventricular tachycardia. Methods The trial was prospective, multicenter, parallel and randomized, enrolling patients with an indication for implantable cardioverter-defibrillator implantation. Results From February 2004, 925 patients were randomized and followed-up for 12 months. Eight pulses ATP terminated 64% of episodes vs. 70% in the 15-pulse group ( p  = 0.504). Fifteen pulses proved significantly better in patients without a previous history of heart failure ( p  = 0.014) and in patients with LVEF ≥ 40% ( p  = 0.016). No significant differences between groups were observed with regard to syncope/near-syncope occurrence. Conclusion In the general population, 15-pulse ATP is as effective and safe as eight-pulse ATP. The efficacy of ATP on fast ventricular arrhythmias confirmed once more the striking importance of careful device programming in order to reduce painful shocks.
doi_str_mv 10.1007/s10840-009-9454-z
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Methods The trial was prospective, multicenter, parallel and randomized, enrolling patients with an indication for implantable cardioverter-defibrillator implantation. Results From February 2004, 925 patients were randomized and followed-up for 12 months. Eight pulses ATP terminated 64% of episodes vs. 70% in the 15-pulse group ( p  = 0.504). Fifteen pulses proved significantly better in patients without a previous history of heart failure ( p  = 0.014) and in patients with LVEF ≥ 40% ( p  = 0.016). No significant differences between groups were observed with regard to syncope/near-syncope occurrence. Conclusion In the general population, 15-pulse ATP is as effective and safe as eight-pulse ATP. The efficacy of ATP on fast ventricular arrhythmias confirmed once more the striking importance of careful device programming in order to reduce painful shocks.</description><identifier>ISSN: 1383-875X</identifier><identifier>EISSN: 1572-8595</identifier><identifier>DOI: 10.1007/s10840-009-9454-z</identifier><identifier>PMID: 20087760</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Cardiac Pacing, Artificial - mortality ; Cardiology ; Electric Countershock - mortality ; Europe ; Female ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Prevalence ; Prospective Studies ; Risk Assessment - methods ; Risk Factors ; Survival Analysis ; Survival Rate ; Tachycardia, Ventricular - mortality ; Tachycardia, Ventricular - prevention &amp; control ; Treatment Outcome</subject><ispartof>Journal of interventional cardiac electrophysiology, 2010-03, Vol.27 (2), p.127-135</ispartof><rights>The Author(s) 2010</rights><rights>Springer Science+Business Media, LLC 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c534t-ee52a006c1ec2c39e168bac6470eaf51f39588d20621a3f77e35b7d19dfa48c23</citedby><cites>FETCH-LOGICAL-c534t-ee52a006c1ec2c39e168bac6470eaf51f39588d20621a3f77e35b7d19dfa48c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20087760$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Santini, Massimo</creatorcontrib><creatorcontrib>Lunati, Maurizio</creatorcontrib><creatorcontrib>Defaye, Pascal</creatorcontrib><creatorcontrib>Mermi, Johann</creatorcontrib><creatorcontrib>Proclemer, Alessandro</creatorcontrib><creatorcontrib>del Castillo-Arroys, Silvia</creatorcontrib><creatorcontrib>Molon, Giulio</creatorcontrib><creatorcontrib>Santi, Elisabetta</creatorcontrib><creatorcontrib>De Santo, Tiziana</creatorcontrib><creatorcontrib>Navarro, Xavier</creatorcontrib><creatorcontrib>Kloppe, Axel</creatorcontrib><title>Prospective multicenter randomized trial of fast ventricular tachycardia termination by prolonged versus conventional anti-tachyarrhythmia burst pacing in implantable cardioverter-defibrillator patients-Atp DeliVery for pAiNless ICD thErapy (ADVANCE-D) Trial results</title><title>Journal of interventional cardiac electrophysiology</title><addtitle>J Interv Card Electrophysiol</addtitle><addtitle>J Interv Card Electrophysiol</addtitle><description>Purpose The purpose of the trial was to quantify and compare the efficacy of two different sequences of burst anti-tachycardia pacing (ATP) strategies for the termination of fast ventricular tachycardia. Methods The trial was prospective, multicenter, parallel and randomized, enrolling patients with an indication for implantable cardioverter-defibrillator implantation. Results From February 2004, 925 patients were randomized and followed-up for 12 months. Eight pulses ATP terminated 64% of episodes vs. 70% in the 15-pulse group ( p  = 0.504). Fifteen pulses proved significantly better in patients without a previous history of heart failure ( p  = 0.014) and in patients with LVEF ≥ 40% ( p  = 0.016). No significant differences between groups were observed with regard to syncope/near-syncope occurrence. Conclusion In the general population, 15-pulse ATP is as effective and safe as eight-pulse ATP. The efficacy of ATP on fast ventricular arrhythmias confirmed once more the striking importance of careful device programming in order to reduce painful shocks.</description><subject>Cardiac Pacing, Artificial - mortality</subject><subject>Cardiology</subject><subject>Electric Countershock - mortality</subject><subject>Europe</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Risk Assessment - methods</subject><subject>Risk Factors</subject><subject>Survival Analysis</subject><subject>Survival Rate</subject><subject>Tachycardia, Ventricular - mortality</subject><subject>Tachycardia, Ventricular - prevention &amp; control</subject><subject>Treatment Outcome</subject><issn>1383-875X</issn><issn>1572-8595</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp1kktv1DAUhQMC0XbgB7BBFhtgYbCdl7NBGs0MUKkqLErFznIcp-PKiVPbGSnz67mZKeUhsYqlc853c-2TJC8peU8JKT8ESnhGMCEVrrI8w_vHySnNS4Z5XuVP4JzyFPMy_3GSnIVwS8BIWPEsOWGE8LIsyOmjs2_ehUGraHYadaONRuk-ao-87BvXmb1uUPRGWuRa1MoQ0Q50b9RopUdRqu2kpG-MRBDqTC-jcT2qJzR4Z11_A_Gd9mEMSLl-joIMMAkHfEhL77dT3HZAqEcP_EEq098g0yPTDRaMsrYaHYY4QMEY3OjW1N5YK6PzEIgGwAEv44DW2ppr7SfUzsrSXFodAjpfrVHcbrwcJvR2ub5eXq42eP0OXR028zrA4uF58rSVNugX999F8v3T5mr1BV98_Xy-Wl5gladZxFrnTBJSKKoVU2mlacFrqYqsJFq2OW3TKue8YaRgVKZtWeo0r8uGVk0rM65Yukg-HrnDWHe6me_bSysGbzrpJ-GkEX8rvdmKG7cTjKfzFAC8uQd4dzfqEEVngtJwHb12YxBlmqYZY_D4i-T1P85bN3p4gCAY5VVBOcnBRI8mBVUIXrcPv0KJmHsmjj0TUB8x90zsIfPqzx0eEr-KBQZ2NASQoAb-9-T_U38C_2Lnhg</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Santini, Massimo</creator><creator>Lunati, Maurizio</creator><creator>Defaye, Pascal</creator><creator>Mermi, Johann</creator><creator>Proclemer, Alessandro</creator><creator>del Castillo-Arroys, Silvia</creator><creator>Molon, Giulio</creator><creator>Santi, Elisabetta</creator><creator>De Santo, Tiziana</creator><creator>Navarro, Xavier</creator><creator>Kloppe, Axel</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</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>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100301</creationdate><title>Prospective multicenter randomized trial of fast ventricular tachycardia termination by prolonged versus conventional anti-tachyarrhythmia burst pacing in implantable cardioverter-defibrillator patients-Atp DeliVery for pAiNless ICD thErapy (ADVANCE-D) Trial results</title><author>Santini, Massimo ; 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Methods The trial was prospective, multicenter, parallel and randomized, enrolling patients with an indication for implantable cardioverter-defibrillator implantation. Results From February 2004, 925 patients were randomized and followed-up for 12 months. Eight pulses ATP terminated 64% of episodes vs. 70% in the 15-pulse group ( p  = 0.504). Fifteen pulses proved significantly better in patients without a previous history of heart failure ( p  = 0.014) and in patients with LVEF ≥ 40% ( p  = 0.016). No significant differences between groups were observed with regard to syncope/near-syncope occurrence. Conclusion In the general population, 15-pulse ATP is as effective and safe as eight-pulse ATP. 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source Springer Nature
subjects Cardiac Pacing, Artificial - mortality
Cardiology
Electric Countershock - mortality
Europe
Female
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Prevalence
Prospective Studies
Risk Assessment - methods
Risk Factors
Survival Analysis
Survival Rate
Tachycardia, Ventricular - mortality
Tachycardia, Ventricular - prevention & control
Treatment Outcome
title Prospective multicenter randomized trial of fast ventricular tachycardia termination by prolonged versus conventional anti-tachyarrhythmia burst pacing in implantable cardioverter-defibrillator patients-Atp DeliVery for pAiNless ICD thErapy (ADVANCE-D) Trial results
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