ICD exchange in the elderly
| العنوان: | ICD exchange in the elderly |
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| المؤلفون: | Peter Nordbeck, H Andresen, Daniel Patschan, Oliver Ritter, B. Sasko, Nikolaos Pagonas, M Eisert, Ivo Buschmann |
| المصدر: | European Heart Journal. 42 |
| بيانات النشر: | Oxford University Press (OUP), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, Emergency medicine, Medicine, Cardiology and Cardiovascular Medicine, business |
| الوصف: | Background ICD therapy in elderly patients is controversially discussed, since survival benefits might be attenuated by non-arrhythmic causes of death. Purpose This study aimed to investigate the outcome of septua- and octogenarians after ICD generator exchange (GE). Methods 506 patients undergoing elective GE were analysed to determine the incidence of ICD shocks and survival after GE. For further analysis, patients were divided according to age (70 – 79 or ≥80 years) and previous ICD therapy: patients that did not experience a shock and patients that received at least one shock from prior ICDs. Results The effect of the ICD on all-cause mortality and arrhythmic death was determined for two groups (patients with 70 – 79 and ≥80 years). Comparing septua- with octogenarians, similar left ventricular ejection fraction (35.6±11.2% vs. 32.4±8.9%) and baseline prevalence of NYHA class 3 or 4 heart failure (17.1% vs. 14.7%) was found. Older patients were more likely to die of non-arrhythmic death (22% per year vs. 8% per year, p Conclusion Decision making for ICD generator exchange among elderly patients should be considered carefully for an individual patient during clinical practice. Funding Acknowledgement Type of funding sources: None. |
| تدمد: | 1522-9645 0195-668X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::f3012b5aaec9bc7b8a86038377067dcd https://doi.org/10.1093/eurheartj/ehab724.0693 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........f3012b5aaec9bc7b8a86038377067dcd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15229645 0195668X |
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