Europace | VOL. 7
Read

20. ICD: Primary Prevention, Utilization & Costs

Publication Date Oct 1, 2005

Abstract

Introduction We evaluated the use of implantable defibrillators (ICDs) in the octogenarian population to analyze the complications associated with ICD implantation; the incidence of appropriate and inappropriate discharges; as well as survival following ICD implantation. Methods We retrospectively evaluated the utilization of ICDs implanted and followed at our institution from 1998 to 2004 in the octogenarian population with systolic dysfunction. A control group was comprised of similar patients under the age of 80. Patients with preserved ventricular function were excluded. Results Two hundred twenty-six patients with systolic dysfunction were evaluated following ICD implantation. There were 51 patients over 80 years of age (mean age: 84 ± 4). A control group of 175 patients less than age 80 (mean age: 66 ± 10) was utilized for comparison. The baseline characteristics, including ejection fraction (25 ± 7%), presence of coronary disease (90%), as well as the incidence of symptomatic arrhythmias (33%) were similar in both groups. The octogenarian population did have a higher percentage of women (31% v. 18% ( p = 0.04)). The long-term device related complication rate in the older age group was low (1.9%) and did not differ between groups. Thirty-two percent of the octogenarian group received appropriate ICD therapy over a mean follow-up period of 15 ± 16 months. The older group had fewer inappropriate discharges (6.8% v. 12.6%; p = NS) in comparison to the younger patient group. Although 78.4% of the octogenarian group survi...

Concepts
Powered ByUnsilo

Octogenarian Population
ICD Implantation
Inappropriate Discharges
Significant Decrease In Survival
Use Of Implantable Defibrillators
ICD Therapy
Higher Percentage Of Women
Related Complication Rate
Presence Of Coronary Disease
Systolic Dysfunction

Introducing Weekly Round-ups!Beta

Powered by R DiscoveryR Discovery

Round-ups are the summaries of handpicked papers around trending topics published every week. These would enable you to scan through a collection of papers and decide if the paper is relevant to you before actually investing time into reading it.

Climate change Research Articles published between Jun 13, 2022 to Jun 19, 2022

R DiscoveryJun 20, 2022
R DiscoveryArticles Included:  5

Understanding the effects of the snow ratio on glacier mass balance under variable climatic conditions is crucial for predicting how glaciers will res...

Read More

Good health Research Articles published between Jun 13, 2022 to Jun 19, 2022

R DiscoveryJun 20, 2022
R DiscoveryArticles Included:  5

In West Africa, the various types of diabetes according to WHO or the American Diabetes Association (ADA) are endemic; a particular type referred to a...

Read More

Gender Equality Research Articles published between Jun 13, 2022 to Jun 19, 2022

R DiscoveryJun 20, 2022
R DiscoveryArticles Included:  5

This study aims to evaluate changes in the presence of women on Spanish boards after the Unified Good Governance Code of Listed Companies (2006) and t...

Read More

Coronavirus Pandemic

You can also read COVID related content on R COVID-19

R ProductsCOVID-19

ONE PROBLEM . ONE PURPOSE . ONE PLACE

Creating the world’s largest AI-driven & human-curated collection of research, news, expert recommendations and educational resources on COVID-19

COVID-19 Dashboard