creators_name: John, Roy M.
editors_name: Singh, Balbir
editors_name: Lokhandwala, Yash
editors_name: Francis, Johnson
editors_name: Gupta, Anup
type: journalp
datestamp: 2005-05-02
lastmod: 2011-03-11 08:56:02
metadata_visibility: show
title: Arrhythmia Diagnosis Following an ICD Shock: Reply 
ispublished: pub
subjects: ipej
full_text_status: public
abstract: Dr. Levine's comments1 are greatly appreciated. Most modern ICDs have arrhythmia discrimination algorithms that have variable success in withholding inappropriate therapy. It must be borne in mind that enhancing specificity for ventricular arrhythmia detection can entail a loss of
sensitivity. Accordingly, all algorithms necessarily err on the side of safety and will withhold therapy for only brief period of time. A persistent high rate will eventually be treated as a ventricular arrhythmia and can result in unnecessary and repetetive shocks. Hence the importance of aggressive management of supraventricular arrhythmias in these patients cannot be overemphasized.
date: 2002-01
date_type: published
publication: Indian Pacing and Electrophysiology Journal
volume: 2
number: 1
publisher: Indian Pacing and Electrophysiology Group
pagerange: 34
refereed: TRUE
referencetext: 1.   Paul A. Levine. Arrhythmia Diagnosis Following an ICD Shock: Comment. Indian Pacing and Electrophysiology Journal; 2002;2(1):6. [Free full text]

2. Roy M. John. Arrhythmia Diagnosis Following an ICD Shock.. Indian Pacing and Electrophysiology Journal; 2001;1(1):5. [Free full text]
citation:   John, Roy M.  (2002) Arrhythmia Diagnosis Following an ICD Shock: Reply.  [Journal (Paginated)]     
document_url: http://cogprints.org/4326/1/john.htm