1996
DOI: 10.1161/01.cir.93.2.295
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RR Interval Variability in Irregular Monomorphic Ventricular Tachycardia and Atrial Fibrillation

Abstract: Animplantable cardioverter-defibrillator tachycardia detection algorithm with a stability criterion of 50 to 60 ms and 12 to 14 RR intervals is able to detect over 90% of monomorphic irregular VTs. Nevertheless, significant VT detection delays may arise, and inappropriate detection of AF cannot be totally prevented.

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Cited by 49 publications
(25 citation statements)
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“…[13][14][15] Exclusion of supraventricular tachycardias and classification of ventricular tachyarrhythmias (ventricular fibrillation, fast VT, and slow VT) were performed by 2 independent investigators. Episodes exceeding the electrogram storage capability of the device were not included in this analysis.…”
Section: Rhythm Classification and Definitionsmentioning
confidence: 99%
“…[13][14][15] Exclusion of supraventricular tachycardias and classification of ventricular tachyarrhythmias (ventricular fibrillation, fast VT, and slow VT) were performed by 2 independent investigators. Episodes exceeding the electrogram storage capability of the device were not included in this analysis.…”
Section: Rhythm Classification and Definitionsmentioning
confidence: 99%
“…For example, the "sudden-onset" criterion will not detect an exercise-induced sinus tachycardia converting into a slow ventricular tachycardia (VT), and it cannot distinguish a suddenly started, fast-conducting regular atrial flutter from a VT. 26 The "rate stability criterion" will have difficulty in rejecting atrial fibrillation with a fast and rather regular ventricular response and may delay detection of VTs with irregular intervals. These limitations and the lack of controlled studies evaluating the specificity, sensitivity, and safety of these algorithms have probably contributed to their infrequent use.…”
Section: Inappropriate Therapymentioning
confidence: 99%
“…All tip-to-ring-and stored far-field electrograms from spontaneous episodes were classified using predetermined criteria based on visual inspection and comparison with sinus rhythm electrograms [10,11]. Exclusion of supraventricular tachycardias and the classification of ventricular tachyarrhythmias (ventricular fibrillation, fast VT and slow VT) were performed by two independent and experienced investigators who reviewed all events.…”
Section: Rhythm Classificationmentioning
confidence: 99%