Follow-up of CRT-D patients downgraded to CRT-P at the time of generator exchange.

Simon Martin Frey,Roman Brenner,Dominic A Theuns,Naeem Al-Shoaibi,Richard J Crawley,Peter Ammann,Christian Sticherling,Michael Kühne,Stefan Osswald,Beat Schaer

Frontiers in cardiovascular medicine（2023）

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摘要

No significant tachyarrhythmia were detected in the patients downgraded to CRT-P during follow-up. However, three events were observed in the CRT-D group. Whilst downgrading CRT-D patients is an option, a small residual risk for arrhythmic events remains and decisions regarding downgrade should be made on a case-by-case basis.

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关键词

cardiac resynchronisation therapy (CRT), downgrade, super response, arrhythmic risk, appropriate ICD therapy, tachyarrhythmia

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