ACC/AHA Guidelines for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices: Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Pacemaker Implantation)

摘要: The publication of major studies dealing with the natural history bradyarrhythmias and tachyarrhythmias advances in technology pacemakers implantable cardioverter-defibrillators (ICDs) has mandated this revision 1991 ACC/AHA Guidelines for Implantation Pacemakers Antiarrhythmia Devices. This executive summary appears April 7, 1998 issue Circulation. full text guidelines, including Class I, II, III recommendations, is published Journal American College Cardiology. Reprints both are available from organizations. Following extensive review medical literature related documents previously by Cardiology, Heart Association, North Society Pacing Electrophysiology, writing committee developed recommendations that evidence based whenever possible. Evidence supporting current ranked as level A if data were derived multiple randomized clinical trials involving a large number individuals. Evidence was B when limited comparatively small numbers patients or well-designed analysis nonrandomized observational registries. C consensus expert opinion primary source recommendation. emphasizes certain conditions which no other therapies available, indications device on years experience well thus supported, even though C. These guidelines include expanded sections selection ICDs, optimization technology, cost, follow-up implanted devices. relatively brief because many instances type frequency examinations …