Can we implant cardioverter defibrillator under minimal sedation?

Unlabelled: Aim In a prospective study, we tested the feasibility of implantable cardioverter-defibrillator (ICD) implantation under local anaesthesia (LA) with minimal sedation (MS) vs. short general anaesthesia (SGA) for defibrillation test (DT).

Methods And Results: We implanted ICDs in 118 patients between October 2002 and November 2003.

Decreased nocturnal standard deviation of averaged NN intervals. An independent marker to identify patients at risk in the Brugada Syndrome.

Aims: Risk-stratification of asymptomatic Brugada Syndrome (BS) patients remains a key-issue. A typical spontaneous BS-ECG pattern and ventricular tachycardia (VT)/ventricular fibrillation (VF) inducibility are two recognized risk markers. The aim of the study was to identify additional risk markers in asymptomatic BS.

[Primary mycotic aneurysm of the abdominal aorta from salmonella injection. A new case successfully operated upon (author's transl)].

A double aneurism, located in the abdominal aorta and left common iliac was found complicating a salmonella typhimurium infection which had been present for 7 months. A by-pass operation between the inaffected iliac arteries was followed by resection of the two aneurisms. Cultures taken from the walls of the aneurisms showed the presence of salmonella typhimurium.

[Occurrence of R plasmids belonging to incompatibility group incC in Aeromonas hydrophila strains isolated from sewage water (author's transl)].

The susceptibility to antimicrobial agents of 321 strains of Aeromonas hydrophila was studied: 319 strains were found to be resistant to one or several antibiotics. Transfer of resistance markers was obtained from 24 strains. Five plasmids from these strains were classified into incompatibility group incC.

[Drinking waters and drug resistant bacteria. Implications for water quality standards (author's transl)].

A systematic investigation of antibiotic sensibility has been carried out on 1,000 strains of enterobacteria and Aeromonas isolated from drinking water. 81,6% are resistant to one or more antibiotics. The incidence of this resistance and its epidemiological consequences are discussed.