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Korean Circulation Journal ; : 173-183, 2012.
Artigo em Inglês | WPRIM | ID: wpr-74325

RESUMO

BACKGROUND AND OBJECTIVES: Implantable cardioverter defibrillator (ICD) therapy is recommended as the primary tool for prevention of sudden cardiac death (SCD) in symptomatic patients with severe left ventricular dysfunction. There is a paucity of information on whether this recommendation is appropriate for the Korean population with severe heart failure. SUBJECTS AND METHODS: The study group consisted of 275 consecutive patients (mean age 65 years, 71% male) who met the ICD implantation criteria for primary prevention (left ventricular ejection fraction 0.05). All-cause mortality and the incidence of SCD in the NICMP group were comparable to those of the DEFINITE standard therapy group (13% vs. 17%, 6% vs. 6%, respectively, all p>0.05). CONCLUSION: Korean patients with severe heart failure in both the ICMP and NICMP groups had all-caused mortality and risk of SCD comparable to patients in the MADIT-II and DEFINITE standard therapy groups. Therefore, the primary prevention criteria for ICD implantation would be appropriate in both Korean ICMP and NICMP patients.


Assuntos
Humanos , Cardiomiopatias , Morte Súbita Cardíaca , Desfibriladores , Desfibriladores Implantáveis , Seguimentos , Coração , Insuficiência Cardíaca , Incidência , New York , Prevenção Primária , Volume Sistólico , Disfunção Ventricular Esquerda
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