What risk should justify implantable cardioverter defibrillator therapy?

Détails

ID Serval
serval:BIB_520DF272047A
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
What risk should justify implantable cardioverter defibrillator therapy?
Périodique
American Journal of Cardiology
Auteur(s)
Schlapfer  J., Kappenberger  L., Fromer  M.
ISSN
0002-9149 (Print)
Statut éditorial
Publié
Date de publication
03/1999
Volume
83
Numéro
5B
Pages
101D-103D
Notes
Journal Article
Review --- Old month value: Mar 11
Résumé
Implantable cardioverter defibrillators (ICDs) were developed to prevent sudden cardiac death in patients with ventricular tachycardia (VT) or ventricular fibrillation (VF). Their safety and efficacy have been proved in multiple retrospective and prospective studies. Many of the published trials were directed at secondary prevention for patients who had already had a sudden cardiac death or a sustained VT. For primary prevention, the information available is limited, as only 2 trials have yet been published. Ongoing trials will probably allow us to broaden the indications for prophylactic ICD implantation. Justification of the risk will have to be evaluated against complexity of the implant, the latter including not only cost but quality of life and morbidity associated with an ICD. However, our efforts still have to be directed to improve risk stratification and to decrease the complexity of the procedure.
Mots-clé
Death, Sudden, Cardiac/etiology/*prevention & control *Defibrillators, Implantable Humans Multicenter Studies Randomized Controlled Trials Risk Factors Survival Rate Tachycardia, Ventricular/etiology/mortality/*therapy Treatment Outcome Ventricular Fibrillation/etiology/mortality/*therapy
Pubmed
Web of science
Création de la notice
15/02/2008 12:30
Dernière modification de la notice
03/03/2018 17:12
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