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World J Cardiol. Apr 26, 2013; 5(4): 106-108
Published online Apr 26, 2013. doi: 10.4330/wjc.v5.i4.106
Published online Apr 26, 2013. doi: 10.4330/wjc.v5.i4.106
Concept of defibrillation vector in the management of high defibrillation threshold
Kevin Hayes, Abhishek Deshmukh, Hakan Paydak, Department of Cardiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States
Sadip Pant, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States
Gareth Tobler, Department of Cardiothoracic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States
Author contributions: Hayes K and Deshmukh A conceived the study, participated in its design and coordination and helped to draft the manuscript; Pant S participated in drafting of manuscript, literature review; Tobler G and Paydak H co-investigator, case analysis, and manuscript editor.
Correspondence to: Sadip Pant, MD, Department of Internal Medicine, University of Arkansas for Medical Sciences, 4301 W Markham Street, Little Rock, AR 72205, United States. spant@uams.edu
Telephone: +1-501-4059729 Fax: +1-501-4059438
Received: September 19, 2012
Revised: March 15, 2013
Accepted: March 21, 2013
Published online: April 26, 2013
Processing time: 220 Days and 11.5 Hours
Revised: March 15, 2013
Accepted: March 21, 2013
Published online: April 26, 2013
Processing time: 220 Days and 11.5 Hours
Core Tip
Core tip: Defibrillation threshold can be altered by a myriad of factors including generator migration. We report a case to illustrate the concept of implantable cardioverter-defibrillator defibrillation vectors and its effect on defibrillation threshold.