Have all the ICD primary prevention trials excluded an important group of patients?

Islam Bolad, David T. Martin

Research output: Contribution to journalArticle

Abstract

Primary prevention trials of implantable cardioverter defibrillator (ICD) therapy have generally excluded patients early after revascularization. Clinicians are commonly faced with patients who have ventricular dysfunction and nonsustained ventricular tachyarrhythmia developing shortly after revascularization. Since there are no evidence-based guidelines, management is currently at the discretion of the treating clinician. Recently, evidence has emerged that this patient population is at increased risk of development of life-threatening ventricular tachyarrhythmia and, pending prospective trials, we suggest that ICD therapy should be used in appropriately selected patients with perioperative ventricular arrhythmia.

Original languageEnglish (US)
Pages (from-to)317-318
Number of pages2
JournalEuropace
Volume7
Issue number4
DOIs
StatePublished - Jul 1 2005
Externally publishedYes

Keywords

  • Cardiac surgery ventricular tachyarrhythmia
  • Implantable cardioverter defibrillator

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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